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Get Verification / Licensee History Request Form - Mass.gov
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How to fill out the Verification / Licensee History Request Form - Mass.gov online
This guide provides clear instructions on how to fill out the Verification / Licensee History Request Form for the Commonwealth of Massachusetts online. Whether you are a licensee or a consumer, these steps will guide you through the process efficiently.
Follow the steps to complete your form accurately.
- Press the ‘Get Form’ button to obtain the Verification / Licensee History Request Form and open it for editing.
- Carefully fill in the Licensee's Name at the top of the form. This should be the person whose license history you are requesting.
- Enter the License Number and Type. Make sure to specify whether the classification is Broker or Salesperson.
- Indicate your status as the Requestor by filling in your name and your phone number in the corresponding fields.
- In the section dedicated to the mailing address, provide the name and address of the individual who should receive the Verification / Licensee History.
- Complete the Business Name or Licensing State field to specify the requestor's business affiliation or the state related to the license.
- Fill in the complete address with the street address, city, state, and zip code to ensure proper delivery of the requested document.
- Review all entries for accuracy, ensuring that the form is legible and that there are no mistakes, as illegible forms will not be processed.
- After confirming all information is correct, print the form for mailing.
- Include a non-refundable check or money order for $15.00 made payable to the Commonwealth of Massachusetts and mail the completed form to the Real Estate Board at the provided address.
Complete your Verification / Licensee History Request Form online today to ensure a smooth processing experience.
You will need the health professional's license number and/or last name. If you have any difficulty navigating the search pages, call the Health Professions License Verification Help Desk at (617) 973–0935.
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