Forms

**Beginning January 1, 2023**

As per WV CSR §174-2.17a, paper processing of requests for transactions for which are available online will be charged a $10.00 processing fee.

This section is for all forms for updating personal information, business/branch information, changing status of license, transfering brokers, and complaints. For education related forms, please see Providers & Instructors. For exam and license applications, please see Licensing. Please ensure all fees and pertinent documentation is submitted when mailing them into the Commission. Online payments for all change filings and certificates of licensure are not available at this time. For more information on a criminal background check click here.

CHANGE FILING FORMS

Change of Company Address
Change of Company Name
Change of Employing Broker

You must upload the following documents together as a single file to continue: the signed Change of Broker Form and your signed license. If your license status is currently inactive, you must include proof of CE hours in the file upload. The file must be in a PDF format and less than 5MB in size.

Change of Licensee Name
Change of License Status
Application for WV Physical Office Address (§30-40-17)

Forms

CHANGE FILING FORMS

ADDITIONAL FORMS