STATE OF CALIFORNIA
DEPARTMENT OF REAL ESTATE
CERTIFIED LICENSE HISTORY REQUEST
RE 293 (Rev. 1/19)
INSTRUCTIONS
Complete all information requested. Incomplete or unclear
requests will be returned.
For processing timeframes, please visit our Web site at
www.dre.ca.gov/Licensees/CurrentTimeframes.html.
Please type or print clearly in ink.
Mail completed request and fee to:
Department of Real Estate
Attn: Flag Section
P.O. Box 137013
Sacramento, CA 95813-7013.
Call (916) 576-8652 if you have any questions.
GENERAL INFORMATION
License histories cover the preceding ve year period
unless otherwise requested in the “comment” section.
Statutory course information is not maintained on record
and cannot be certied or veried.
DRE USE ONLY
Some states require the license certication be mailed
directly to them — please verify before completing the
“mailing address” section.
To request an exemption from continuing education,
please use form RE 213 for no fee.
PAYMENT INFORMATION
Fee - $20 per history (submit a new form and fee for each
state).
Acceptable payment methods - Cashier's check, money
order, check, or credit card.
Make check or money order payable to: Department of
Real Estate.
If paying by credit card, you must complete a Credit Card
Payment form (RE 909).
CERTIFIED LICENSE HISTORY TYPE — CHECK ONE BOX ONLY
For other states
Contains a brief history of the preceding ve year
period, state seal, signature of custodian of record, any
disciplinary action taken, current license status, date
exam passed, date rst licensed, and expiration date.
Request is for the State of____________________________ .
For general or legal purposes
Contains a detailed history of the preceding ve year
period, state seal, signature of custodian of record, any
disciplinary action taken, date rst licensed, expiration
date, and mailing and branch ofce address changes.
HISTORY BEING REQUESTED ON THE FOLLOWING LICENSEE
FULL NAME OF LICENSEE
STREET ADDRESS OR POST OFFICE BOX
CITY STATE ZIP CODE
LICENSE IDENTIFICATION NUMBER LICENSE EXPIRATION DATE LICENSE TYPE (CHECK ONE)
BROKER SALESPERSON CORPORATION
ADDITIONAL REQUESTS OR COMMENTS
MAILING ADDRESS
Mail history to: (Check one)
LICENSEE AT THE ADDRESS LISTED ABOVE. STATE AGENCY LISTED BELOW. INDIVIDUAL LISTED BELOW.
NAME
STREET ADDRESS OR POST OFFICE BOX
CITY STATE ZIP CODE
REQUESTOR INFORMATION
NAME OF REQUESTOR — WHOM MAY WE CONTACT IN REGARD TO THIS REQUEST? DAYTIME TELEPHONE NUMBER (INCLUDE AREA CODE)
