Form 812 at a glance
What it is: Form #812 is the Notice of Real Estate Employment, which identifies the licensee to be employed by or work under the supervision of the broker.
Notary: The licensee must sign in the presence of a notary public and write the date.
The blank Form 812: print it and complete it by hand
How to fill out Form 812, box by box
Section A: licensee
Failure to provide all info may result in delay of processing.
Enter the license number and mark the type: Broker, Salesperson or Timeshare Salesperson.
Enter the date employment began.
Enter the last name, first name, MI, mailing address (number, street), city, state, zip code and date of birth.
Enter the daytime telephone number, including area code.
Licensee signs in the presence of a notary public
By signing, the licensee swears and affirms that the answers are true and correct to the best of the licensee's knowledge and belief and understands that failure to comply with the statutes and rules of the Department may be cause for disciplinary action.
The Notary Public fills in the line Subscribed and sworn before me.
The notary signs and enters the date and the date the commission expires.
Mail To and application fee
Mail To: P.O. Box 8935, Madison, WI 53708-8935, or 1400 E. Washington Avenue, Madison, WI 53703. Fax: (608) 261-7083. Phone: (608) 266-2112.
Make the check payable to the Department of Safety and Professional Services and attach it to this application; the application fee is $10.00 (checked November 12, 2026). The Department can process this form only if the fee is attached.
Section B: broker-employer
Section B identifies the broker with whom or by whom the licensee in Section A will be associated or employed.
Check one for the broker-employer: Sole Proprietor Broker or Business Entity (Association, LLC, LLP).
Print the name and address of the broker-employer exactly as that individual sole proprietor or business entity is licensed, and write the License Number and the Main Office Telephone Number.
Section B must be signed by the sole proprietor broker-employer or a licensed broker who is a director, manager, member, officer, owner or partner of the licensed business entity.
By signing, the broker-employer certifies that the broker-employer listed will assume responsibility for the licensee, and failure to comply with the statutes and rules of the Department may be cause for disciplinary action. Print the name of the person signing and write the date.
Sources
[1] Wisconsin Form 812 (Rev. 8/13), Notice of Real Estate Employment, Wisconsin Department of Safety and Professional Services (the Official source link on this page).