Fillable Arizona Department of Real Estate (ADRE) Instructions for (Arizona Department of Real Estate)

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Arizona Department of Real Estate (ADRE) Instructions for (Arizona Department of Real Estate)

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DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
Arizona Department of Real Estate (ADRE)
Enforcement & Compliance Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
Instructions for Completing COM-400
(Request for Case Closure and Return to Regular License Status)
You
must submit a completed COM-400 form before the Compliance Officer can approve
changing your license type from Provisional to regular. The form is available on the
Department’s website, www.azre.gov
, under Forms and Publications – Compliance. Once you
have completed the required period of active licensure, generally 2 years (730 days), submit
form COM-400 to the Compliance Officer to begin the process of returning your license to
regular status.
The form requires that you enter your name, license number and date of license expiration on
the top line. Enter the Order number (case number) and date of the order on line 2. Check the
appropriate box for order type and indicate if the order included a suspension.
Enter all periods of active employment that fulfills the terms of the Order. The form
automatically calculates and totals the amount of time you were employed by the brokerage.
Begin with your current or most recent brokerage; if currently employed, leave the sever date
blank. Then enter your next most recent employer. You may enter up to six employers. Your
employment history is available on the Department’s website. Log-in to your account and go to
Quick Links and select View My Employer Public Database Record. Your employment history can
also be found on the Departments website, On-Line services, Public Database.
The form can be electronically signed and dated. Once complete, submit to the Department
using the website Message Center. Go to Enforcement and Compliance, Submit compliance
forms and affidavits. The first line of your message must state your Order Number and the
number of the form(s) you are submitting, i.e. COM-400. Be sure to attach the completed form.
If you are unable to submit the form using the Message Center, it may be submitted to the
Compliance Officer via email. The Subject Line must contain your name, the order number and
the form(s) you are submitting.
*************************
DOUGLAS A. DUCEY
GOV
ERNOR
JUDY LOWE
COMMISSIONER
Arizona Department of Real Estate (ADRE)
Enforcement & Compliance Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
COMPLIANCE - CASE CLOSURE
(R
equest for Case Closure) (COM-400)
Licensee Name: _________________ License No.: __________________ Expiration Date: ____________
Order/Case
No: ___________________________ Order Date: _____________________
(Commissioner’s signature date)
Type of Order: _____ Consent Order _____ Commissioner’s Final Order
Was there a Suspension of your License: _______________
_____ Other
Length of suspension: _____ Days
I affirm tha
t I have been actively employed during the above stated dates and complied with all terms of the Order while
on provisional license status.
I understand that submitting false or misleading information is a violation A.R.S.§32-2153.
_________________________
_______________________________________
Licensee Signature
Date
Complete and submit this form to the Department at the time a case is scheduled to close along with a
printout of your employment history from the Department’s website (www.azre.gov). You will not be issued a
regular license until complying with all terms stated in the Order and submitting this form verifying that you
have the required number of days of active employment during the provisional license period.
List all active employment during the provisional license period beginning with the most recent employer. For
current employer, leave sever date blank. Do not list periods of inactive or expired license. This information
is available on the Department’s website: www.azre.gov
Brokerage Name License No. Hire Date Sever Date Days
___________________ _____________ ________ ________ ____
___________________ _____________ ________ ________ ____
___________________ _____________ ________ ________ ____
___________________ _____________ ________ ________ ____
___________________ _____________ ________ ________ ____
___________________ _____________ ________ ________ ____
Total Days
COM-400 rev. 6-11-2018
Use the Message Center to submit this form in Enforcement & Compliance section, Submit compliance forms and affidavits. Enter
your case number on the first line of the message and attach this form.
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Arizona Department of Real Estate (ADRE) Instructions for (Arizona Department of Real Estate)

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Completed 12 August 2020

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