Re 2090B Form – Fill Out and Use This PDF

Instructions for Completing Form 2090b

Request for Course Evaluation - FREC

Requestor Information

a)Identifying Number – If you are a licensed real estate school, this will be your permit number; if you are a board approved Provider, this is your seven digit reporting number.

b)Name information – This is to be filled out by your point of contact.

c)Organization name – This is the name that appears on your school license or provider permit.

Business Mailing Address

This is where all correspondence concerning this application will be mailed.

Contact Information

This is the most direct way for our staff to communicate with the person within your organization responsible for submitting this application (your point of contact). This information is not given to the public; it is strictly used for communications concerning your application.

Physical Business Address

If your mailing address is different from your physical location, you will need to fill this section out.

Course Information

The combination of course type and delivery mechanism dictate what material you must submit to the department for evaluation. Each course will be evaluated for one type/delivery method per application. If you intend to offer this course for more than one type/delivery method combination you will need to submit a separate application for each combination.

a)Type of Education – This is where you select the educational requirement your course is intended to fulfill.

•Continuing Education – Real estate licensees have two continuing educational requirements: “Specialty” credit and “Law” credit. Courses can be created that fulfill each requirement separately or fulfill both at once. Only permitted schools can teach the “Law” credit.

b)Delivery Mechanism – Application requirements for delivery method depend on what type of educational credit you are requesting. When filling out this application, please indicate how this course will be presented to the students.

c)Application Type – This indicates how you want to have your application evaluated by the department.

•New – This is for an initial request to have a course approved under your School/Provider.

•Renewal – This is to have a course renewed. Please note renewals can only be submitted 90 days prior to a courses expiration date. If your course approval has lapsed or will lapse within 30 days of submitting the application you will need to file a new course application.

•Update - This is used if you have made significant changes to your course and need to have it evaluated by the department prior to the 90 day renewal period.

d)Course Title – This is the course name that will appear on any correspondence concerning this application, as well as on your approval letter.

e)Course Number – This is a seven digit number assigned by the department and only relevant for Update and Renewal applications.

f)Hours Requested – The number of hours your course is to be evaluated/approved for.

g)Title of Course Material – This information will appear on several different approval letters and is vital if you are using a course that was created by a course developer/publisher.

Required Signatures

Real Estate School requires Permit Holder’s signature and Provider requires Point of Contact’s signature.

Revised 1107

RE-2090b Req for Course Eval FREC

DBPR RE-2090b – Request for Course Evaluation - FREC STATE OF FLORIDA

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

1940 North Monroe Street

Tallahassee, FL 32399-0750

Customer Contact Center: 850.487.1395

www.myfloridalicense.com/dbpr

REQUESTOR INFORMATION

(permit holder or point of contact)

Identifying Number (school permit or provider number – if applicable)

Last Name	First			Middle	Title	Suffix
Organization name
	BUSINESS MAILING ADDRESS
Street Address or P.O. Box
Suite or Office Number
City			State		Zip Code (+4 optional)
County (if Florida address)		Country
	CONTACT INFORMATION

PHYSICAL BUSINESS ADDRESS

Street Address or P.O. Box

Suite or Office Number

City		State	Zip Code (+4 optional)
County (if Florida address)	Country

COURSE INFORMATION

Application Type (choose only one)	- NEW	- RENEWAL		- UPDATE
Course Title
Course Number (Updates and Renewals only)			Hours Requested
Title of Source Material

Permit Holder/Point of Contact:

I affirm that I have provided the above information completely and truthfully to the best of my knowledge.

Permit Holder or Authorized Signator: _____________________________________________________________

Print Name:

Submitted by (signature):

DATE:

Revised 1107

RE-2090b Req for Course Eval FREC