Real Estate Appraiser
License/Certication
Application
Apply for a real estate appraiser license/certication.
Your application must include:
• Copies of course completion certicates or copies of the front and
back of your ocial college transcripts for the required courses
• Your Real Estate Appraiser Applicant/Trainee Experience Log and/or
Real Estate Assessor Mass Appraisal Log
• An ocial transcript sent to us from your college or university if post-
secondary drees or courses are required
Online: https://professions.dol.wa.gov
Or mail this completed form, all required attachments, and a check or money
order for the (payable to Department of Licensing) to:$370 non-refundable fee
Real Estate Appraiser
Department of Licensing
PO Box 3917
Seattle, WA 98124-3917
Licenses are available for self-printing with an online account.
If you want us to print and mail your license add a $5 print fee for each copy to your payment.
$0 self-print license online.
$5 each. DOL print and mail license. Quantity Total $ 
For questions or language help call: (360) 664-6504 or email [email protected]
Application type (choose only one):
Certied general
Certied residential
State licensed
Applicant
TYPE or PRINT Name as you would like it to appear on your license Former name
Full legal name (First, Middle, Last)
Social Security number*
Date of birth
Military? (check if applicable)
Current or former: Military member Military spouse or domestic partner
Mailing address (Street or PO Box, City, State, ZIP code)
10-digit phone number
(during normal business hours)
Email address
*You are not required to have a Social Security Number (SSN) or Individual Taxpayer Identication Number (ITIN or TIN) to apply for or be issued a
license. If you do not have an SSN or ITIN, leave that section blank. If you do have a SSN, ITIN or TIN, you are required by federal and state law to
provide it on the application (42 U.S.C. 666(a)(13) and RCW 74.20A.320).
Legal background
Answer the following
Answer the questions below. If you answer “Yes,” attach a detailed explanation.
1.
Within the last 5 years, in this state or any other jurisdiction, have you had any action
(ne, suspension, revocation, censure, surrender, etc.) taken against any professional or
occupational license, certication, or permit held by you?
........................... Yes No
2. Within the last 5 years, in this state or any other jurisdiction, have you defaulted, or been
convicted of, or entered a plea of no contest to a gross misdemeanor or felony crime?
(Don’t include trac convictions.)
.............................................. Yes No
APR-622-170 (R/8/23)WA Page 1 of 3
Qualifying experience and general work history
1.
Total number of logged hours of experience in residential real estate appraising ...........
2. Total number of logged hours of experience in non-residential real estate appraising........
List in chronological order all real estate appraiser work experience. If you are (or have been) self-employed,
and the sole proprietor of the company, please list the company name and enter “self” under “Employer or
Supervisor.” You may attach additional pages if necessary.
1 Name of company Your title/ position 10-digit phone number Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
2 Name of company Your title/ position 10-digit phone number Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
3 Name of company Your title/ position 10-digit phone number Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
4 Name of company Your title/ position 10-digit phone number Employer/ Supervisor name
Company address Dates (From - To) Monthly hours Total hours
Duties
Education
An ocial college transcript or course certicate together with evidence of examination passage must be
submitted for all courses listed. You must have successfully completed course work as specied in WAC 308-
125-030, 308-125-040, 308-125-045, and 308-125-050.
Course title
Dates attended (Month/Year)
From To
Total classroom hours/
college credits
(Qtr. or Sem.) Course provider
Course location
(City and State)
APR-622-170 (R/8/23)WA Page 2 of 3
Declaration
Answer the following
1. I authorize any business associates (past and present) and any governmental agencies
(local, state, or federal) to release to the Department of Licensing any information
required for processing this application
......................................... Yes No
2. I have read and I agree to follow all the applicable laws and rules of this profession
and I understand the penalties for misconduct
.................................... Yes No
3. I understand that lawsuits or other actions may be led against me in Washington and
I consent that service of process may be made by delivering it to the Director of the
Department of Licensing
..................................................... Yes No
4. The Real Estate Appraiser Experience Log submitted with this application is true
and correct
............................................................... Yes No
For each assignment:
5.
I signed or was recognized in the report, or was responsible for and contributed
signicantly to the entire report, even though I may not have performed the
entire appraisal
............................................................ Yes No
6. If I acted as a review appraiser, I formed an opinion as to the adequacy and
appropriateness of the report being reviewed and clearly disclosed the nature of the
review process. (Not applicable for trainees.)
.................................... Yes No
7. I have gained the required hours of real estate appraisal experience through the
appraisals listed in the Experience Log. If requested, I will make copies available of
any appraisal reports I have prepared
.......................................... Yes No
I declare under penalty of perjury under the law of Washington that the foregoing is true and correct.
TYPE or PRINT Name
Date and place
X
Signature
Providing false information in this application may be cause for denial, suspension, or revocation of
your professional license in the State of Washington.
APR-622-170 (R/8/23)WA Page 3 of 3
When you have completed this form, print it out and sign here.