Arizona Department of Real Estate (ADRE)
Professional Education Division
100 N. 15
AVENUE STE-201, PHOENIX, AZ 85007
FORM ED-200-OPE 3-13-2020
ONLINE PRE LICENSE SCHOOL EXAMINATION PROCTOR CERTIFICATION
Schools should complete this form for each student who has completed the requisite course work for an online
pre licensing course, and provide it to the proctor with the online examination.
After the examination is administered, the proctor should complete the remainder of the form and return it to the
school. The school must immediately send ADRE a copy of the completed form upon its completion by the
proctor through the Message Center at www.azre.gov.
ONLINE COURSE INFORMATION:
Name and Address of Third Party Proctor Facility
I certify that:
1. I am a disinterested third party in the administration of this examination. I am not related by blood, marriage, or any
relationship to the above-named student.
2. I have no financial or business interest in the outcome of this examination.
3. The student showed me positive photo identification prior to completing the examination.
4. The examination was administered in my presence and under my supervision on
5. The student received no assistance and had no access to books, notes, electronic media or reference material and
accessed and completed the examination on a computer with a locked down browser.
6. I have not permitted the examination to be compromised, copied, or recorded in any way or by any method.
Date Signature of Proctor
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