Real Estate Appraiser - Temporary Permit Application

A.	As provided under COMAR 09.19.08 and 09.19.07, the Maryland Commission of Real Estate Appraisers and Home Inspectors may grant a temporary permit allowing an individual to provide, on a temporary basis, certified or licensed real estate appraisal services in Maryland, if the:
	(1) Individual is licensed or certified in another state;
	(2) Property to be appraised is located in Maryland;
	(3) Appraiser�s business is of a temporary nature in Maryland;
	(4) Individual files an application on a form prescribed by the Commission;and
	(5) Appraiser pays a fee of $75.00 per assignment
B.	A temporary permit may be issued for a particular assignment.
C.	A temporary permit may include multiple properties.
D.	Upon request, the Commission may extend the term of a temporary permit.
E.	The permit holder may provide appraisal services only for the specific assignment listed on the permit.
F.	The Commission shall set the term of the temporary permit for six months from the date of issuance.
G.	An individual may hold more than one temporary permit at a time.
H.	The Commission does not limit the number of permits that may be issued to an individual.

I hereby apply for a Temporary Permit as provided in the Code of Maryland Regulations 16.08.01 to practice as a Real Estate Appraiser for a period not to exceed
six (6) months from / / on the basis of my licensure/certification as a Real Estate Appraiser in the State of

Include your State's License/Certificate No. and Expiration Date: / /

Please note that you may not hold more than two temporary permits in one calendar year.

Full Name:

(First)

(Middle)

(Last)

	I have a United States mailing address
	Address:
	City, State Zip:	, -
	County:
	I have a mailing address outside the United States
	Address:

Social Security
Number:

Date of Birth:

- - (MM-DD-YYYY)

Place of Birth:

	I was born in the United States City and State: ,
	I was born outside the United States City and Country:

Daytime Phone
Number:

- -

Personal E-mail address:

Business E-mail address:

(Optional)

You may use the same email address in both fields presently designated for �Business Email Address� and �Personal Email Address�. However, please note that your business address may be released upon the request from a third party. Your personal email address will only be used for the purposes of communications from LABOR. In addition, if you wish to omit your business email address from the lists of licensees that LABOR makes available to third parties, you must notify us in writing or you can opt-out by leaving your business email address blank. You may send your Opt-out notice to dlopl-labor@maryland.gov

Employer's Business Name:
Employer's Business Address:
Employer's City, State Zip:	, -
Client Name:
Client Address:
Client City, State Zip:	, -

Submit the following as part of this application:

A typed letter with the name, description and specific location of the assignment and a description of the services to be provided to the client (NOTE: If there are multiple assignments please include the client names/addresses to the email address below along with your submission). Include your name, home and business telephone numbers, and the telephone number of your client in the submission.
Include a copy of your license/certificate.

Email these documents to: DLOPLRealEstateAppraiser-LABOR@maryland.gov

NOTE: Allow 10 business days for your application to be processed/approved.

Have you ever:

1.	Been convicted of a felony or misdemeanor in any State or Federal Court?	Yes	No
2.	Had this type of license, certificate, registration, or permit denied, suspended, or revoked by Maryland or any other jurisdiction?	Yes	No

I have Workers Compensation Coverage Policy/Binder No.

Issued by the

I am not an employer required to provide employee coverage under the Workers Compensation Law.

Certification

By pressing "Submit" below:

I hereby certify, under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge, information, and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor or have provided for payment in a manner satisfactory to the unit responsible for collection.

In accordance with Executive Order 01.901.1983-18, the Department of Labor is required to advise you as follows regarding the collecting of personal information: Personal information requested by the licensing agency of the Department is necessary in determining your eligibility for licensure. Such personal information is also intended for use as an additional means of verifying the licensee�s identity or to enable the agency to communicate, in a timely manner, with the licensee should the need arise. The licensee has a right to inspect his/her personal record and to amend or correct the personal data if necessary. Personal information is generally available for inspection by the public only in accordance with the Public Information Act. Personal information is not routinely shared with state, federal or local government agencies.

I understand that the temporary permit is limited solely to the specific appraisal assignment in Maryland, as described in this application, and cannot be extended or renewed beyond the expiration date shown on the temporary permit.

I further affirm that, if my address listed on this application, or at any time in the future, is not within the State of Maryland, I do hereby irrevocably consent that service of process on the Secretary of State shall bind me in any action about the provision of real estate appraisal services brought against me in the city of Baltimore or any county in the State of Maryland.

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