Form DBPR RE 11 at a glance
What it is: Form DBPR RE 11 is the Change of Status for Sales Associates and Broker Sales Associates of the Florida Real Estate Commission.
Who signs: The sales associate or broker sales associate must sign the Affirmation by Written Declaration. The signature of the qualifying broker for the real estate company or sole proprietorship is only required if this application is being used to add an employee, terminate an employee, or change employer information.
This application is required for a change of status to the license of a sales associate or broker sales associate. A change of status is any change in the employment status (new employment, change of employment, or termination of employment of the licensee).
A filled-in Form DBPR RE 11 example: an associate is added to a company
How to fill out Form DBPR RE 11, box by box
Section I - Transaction Types
On Form DBPR RE 11 of the Florida Real Estate Commission, check the box for the relevant transaction in Section I and complete the applicable additional section(s) only.
Leave the sections that are not relevant to your desired transaction blank.
Add Employee [3020], Terminate Employee [4020], Become Inactive [4020] and Change Employer [9007].
Applicants must check only one transaction type.
Add Employee: (1) Select this transaction to add a sales associate or broker sales associate as an employee of a real estate company or sole proprietorship. (2) Successful completion of this transaction will activate the associate's license status and relate that license to the license of the employer's qualifying broker.
Terminate Employee: (1) Select this transaction to terminate a sales associate or broker sales associate as an employee of a real estate company or sole proprietorship.
Become Inactive: (1) Select this transaction to change your license status to inactive. (2) Successful completion of this transaction will deactivate the associate's license status and end the relationship of that license to the license of the employer's qualifying broker.
Change of Employer: (1) Select this transaction to change your employer information. (2) Successful completion of this transaction will deactivate the associate's license status and relationship with the prior employer and activate the associate's license status and relate that license to the license of the new employer's qualifying broker.
Section II - Associate Information
Provide the license number of the sales associate or broker sales associate. Provide the name of the sales associate or broker sales associate as it appears on their real estate license. Provide a valid phone number and email address for the associate.
Contact information is often used to quickly resolve questions with applications by telephone call or email. If contact information is not provided, questions regarding applications will be mailed to the applicant's mailing address and may take longer to resolve.
Section III - Broker or Company Information
(1) For adding an employee: the employer must provide the company/sole proprietor information and sign this section to authorize the addition of the associate as an employee.
(2) For terminating an employee: the employer must provide the company/sole proprietor information and sign this section to authorize the termination of the associate as an employee.
(3) For an associate becoming inactive: the associate must provide the company/sole proprietor information for the company they wish to become inactive from. There is no need to have a qualifying broker sign the section.
(4) For an associate changing employers: the new employer must provide the company/sole proprietor information and sign this section to authorize the addition of the associate as an employee.
Provide the name of the qualifying broker for the real estate company or sole proprietorship. Provide the license number of the real estate company or sole proprietorship. Provide the name of the real estate company or sole proprietorship. Provide a valid phone number and email address for the qualifying broker.
Section IV - Affirmation By Written Declaration
The sales associate or broker sales associate must sign the Affirmation by Written Declaration.
The form certifies that you are empowered to execute this application as required by Section 559.79, Florida Statutes. Your signature on this written declaration has the same legal effect as an oath or affirmation. Under penalties of perjury, you declare that you have read the application and the facts stated in it are true.
Falsification of any material information on this application may result in criminal penalty or administrative action, including a fine, suspension or revocation of the license.
Common questions about Form DBPR RE 11
Where do I file it?
Mail your completed form, documentation and required fee(s) to: Department of Business and Professional Regulation 1940 North Monroe Street Tallahassee, FL 32399-0783.
Are there fees?
All License Applicants must submit: Completed application. No fee is assessed for this transaction.
Where to get help with Form DBPR RE 11
If you have any questions or need assistance in completing this form, please contact the Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
Sources
[1] Form DBPR RE 11 (Effective April 2012), Change of Status for Sales Associates and Broker Sales Associates, Florida Real Estate Commission (the Official source link on this page).
