Criminal History Instructions for Application
PRIVACY
ACT STATEMENT
Authority: The FBl's acquisition, preservation, and exchange of fingerprints and associated
information is generally authorized under 28 U.S.C. 534. Depending on the nature of your
application, supplemental authorities include Federal statutes, State statutes pursuant to Pub.
L.
92-544, Presidential Executive Orders, and federal regulations. Providing your fingerprints and
associated information is voluntary; however, failure to do so may affect completion or approval
of your application.
Principal Purpose: Certain determinations, such as employment, licensing, and security
clearances, may be predicated on fingerprint-based background checks. Your fingerprints and
associated information/biometrics may be provided to the employing, investigating, or
otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints to
other fingerprints in the FBl's Next Generation Identification (NGI) system or its successor
systems (including civil, criminal, and latent fingerprint repositories) or other available records
of the employing, investigating, or otherwise responsible agency. The FBI may retain your
fingerprints and associated information/biometrics in NGI after the completion of this
application and, while retained, your fingerprints may continue to be compared against other
fingerprints submitted to or retained by NGI.
Routine Uses: During the processing of this application and for as long thereafter as your
fingerprints and associated information/biometrics are retained in NGI, your information may
be disclosed pursuant to your consent, and may be disclosed without your consent as
permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at any
time in the Federal Register, including the Routine Uses for the NGI system and the FBl's
Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing,
governmental or authorized non-governmental agencies responsible for employment, contracting,
licensing, security clearances, and other suitability determinations; local, state, tribal, or federal
law enforcement agencies; criminal justice agencies; and agencies responsible for national
security or public safety.
Applicant Notification and Record Challenge
Your fingerprints will be used to check the criminal history records of the FBI. You have the
opportunity to complete or challenge the accuracy of the information contained in the FBI
identification record. The procedure for obtaining a change, correction, or updating an FBI
identification record are set forth in Title 28, CFR, 16.34. You can find additional information on
the FBI website at https://www.fbi.gov/about-us/cjis/background-checks
6606 Tussing Rd.
PO Box 4008
Reynoldsburg, OH 43068
Rev. 2/2024
An Equal Opportunity Employer and Service Provider
614-466-4100
Fax 614-644-0584
TTY/TDD 800-750-0750
com.ohio.gov/real
COM 3568; REPL-17-0009
Application Starts on Page 5
6606 Tussing Rd.
PO Box 4008
Reynoldsburg, OH 43068
Rev. 2/2024
An Equal Opportunity Employer and Service Provider
614-466-4100
Fax 614 -644-0584
TTY/TDD 800-750-0750
com.ohio.gov/real
COM 3568; REPL-17-0009
All applicants for initial registration, licensure or certification are required to complete a criminal records
check of both state and FBI records. This requirement also applies to an applicant who is “upgrading”
their credential.
An applicant must have fingerprints taken by the Webcheck® user (a business, government agency or
private entity that provides criminal record check services) approved by the Bureau of Criminal
Identification and Investigation (BCI&I) within ten (10) days after the date of filing an application.
Applicants should not have fingerprints taken before filing an application with the Division of Real Estate.
An applicant must contact and arrange with a Webcheck® user to have fingerprints taken and submitted
to BCI&I using the Webcheck® system. Applicants should take their government issued photo
identification with them to the Webcheck® location. Some Webcheck® users can only submit fingerprints
for a state records check and not an FBI records check. The applicant should confirm the Webcheck®
user can submit both state and FBI fingerprints to BCI&I.
A list of Webcheck® users may be found on the web at:
http://www.ohioattorneygeneral.gov/Business/Services-for-Business/WebCheck/Webcheck-Community-Listing
Additional information on Webcheck® may be found at:
http://www.ohioattorneygeneral.gov/Business/Services-for-Business/WebCheck
or obtained from BCI&I at (877) 224-0043 or P.O. Box 365 London, Ohio 43140
The applicant must pay all fees associated with the criminal records check to the Webcheck® user at the
time the fingerprints are taken.
An applicant must instruct the Webcheck® user to use the following reason codes and to have BCI &I send
the results (state and FBI criminal records check) to the Division at this address:
BCI&I Reason Code: 4735.143
FBI Reason Code: 4735.143
Division of Real Estate and Professional Licensing
6606 Tussing Rd.
PO Box 4008
Reynoldsburg, OH 43068
• BCI&I submits results to the Division within thirty (30) days of BCI&I’s receipts of the
applicant’s fingerprints.
• Failure to timely comply with the criminal records check requirement may result in the
denial of an application.
6606 Tussing Rd.
PO Box 4008
Reynoldsburg, OH 43068
Rev. 2/2024
An Equal Opportunity Employer and Service Provider
614-466-4100
Fax 614 -644-0584
TTY/TDD 800-750-0750
com.ohio.gov/real
COM 3568; REPL-17-0009
You may obtain a copy of your FBI Identification Record by sending a request to:
FBI’s CJIS Division
Attn: Record Request
1000 Custer Hollow Rd.
Clarksburg, WV 26306
You are required to provide the following:
1. Your written request.
2. Payment for the $18 processing fee, either by certified check or money order made payable to
the U.S. Treasury, or a credit card. For credit card payment information, refer to
www.fbi.gov/hq/cjisd/fprequest.htm.
3. A current, original ten print fingerprint submission (not previously processed) taken by a local
law enforcement agency and bearing your name, date of birth, and place of birth.
If, after reviewing your record, you believe it is inaccurate or incomplete, you may challenge the
record by contacting the agency (or agencies) that originally submitted the information or by
sending your challenge to:
FBI’s CJIS Division
Attn: Correspondence Group
1000 Custer Hollow Rd
Clarksburg, WV 26306
Individuals requesting a Challenge and Review of their Ohio criminal history record, should utilize
the following procedure.
1. A written request for a challenge & review must be submitted to the Ohio Bureau of Criminal
Identification & Investigation, Identification Division. This request must include a brief
explanation for the reason the record is being challenged, the individuals name and complete
mailing address.
2. The individual must be fingerprinted by a law enforcement or criminal justice agency to provide
positive identification. All data fields on the fingerprint card must be completely filled out. To
ensure expeditious processing the reason fingerprinted data field should contain “Challenge &
Review” (There is no fee charge for this service)
3. The required items listed above should be mailed together to:
Ohio Bureau of Criminal Identification & Investigation
Attn: Challenge & Review
PO Box 365
London, Ohio 43140
Pl
Please visit our website at
www.com.ohio.gov/real
614|466-4100
Fax: 614|644-0584
TTY/TDD: 800|750-0750
SALESPERSON
LICENSE EXAMINATION APPLICATION
1.) Be at least 18 years of age.
2.) Be a United States citizen or an alien lawfully admitted to the United States.
3.) Be honest and truthful.
4.) Not have been convicted of a disqualifying offense. Not have violated any civil rights
laws regarding real estate within the past two years as determined by a court of law or violated any rules
of the Ohio Division of Real Estate.
5.) Have a high school diploma or equivalent.
6.) Complete the education requirements.
7.) Pay the applicable fees.
8.) Pass the examination.
TO QUALIFY TO SIT FOR THE EXAMINATION
1.) A completed Salesperson License Examination Application with $81 fee. Check, money order
and credit card only. Cash will not be accepted.
2.)
Submit proof of completion of the education requirements (properly issued certificate, transcript or
similar documentation from the institution or entity at which the course of education was completed).
Once the Division processes a complete application, the applicant’s information is sent to the testing vendor. The
testing vendor will process the information and send the applicant a Candidate Information Bulletin with
instructions on scheduling the exams. The applicant must pass the State and National portions of the Ohio Real
Estate exam in order for a license to be issued.
Passing score: 70
Mail the completed Salesperson Examination Application with required documents and $81 nonrefundable check
or money order, made payable to the Ohio Division of Real Estate, to the following address:
Ohio Department of Commerce
Division of Real Estate and Professional Licensing
6606 Tussing Rd.
PO Box 4008
Reynoldsburg, OH 43068
COM 3568 REPL-17-0009 (Rev. 2/2024)
“An Equal Opportunity Employer and Service Provider”
Page 1 of 2
Please visit our website at
www.com.ohio.gov/real
614|466-4100
Fax: 614|644-0584
TTY/TDD: 800|750-0750
SALESPERSON
LICENSE EXAMINATION APPLICATION
Incomplete applications and applications that are filled out incorrectly will be
returned for correction.
FEE: $81.00
Attach a
properly issued certificate, transcript or similar documentation from the institution or entity at which the
course of education was completed for the four pre-licensure education courses.
FOR DIVISION USE ONLY
FILE NUMBER
APPLICANT INFORMATION
FIRST NAME
MIDDLE NAME
LAST NAME
SUFFIX
HOME ADDRESS
PHONE NUMBER
SOCIAL SECURITY NUMBER
CITY
STATE
ZIP CODE COUNTY YEAR OF HIGH SCHOOL GRADUATION/G.E.D. DATE OF BIRTH
EMAIL ADDRESS
BROKER INFORMATION: Enter the information for the company you plan to be associated with below.
COMPANY FILE NUMBER
BROKER/COMPANY NAME
BUSINESS PHONE
BUSINESS FAX
MAIN BUSINESS ADDRESS (NOT A BRANCH OFFICE ADDRESS)
CITY
STATE
ZIP CODE
ETHICAL CONDUCT AND LEGAL HISTORY
PLEASE ATTACH A COMPLETE EXPLANATION FOR ANY QUESTIONS ANSWERED “YES” BELOW.
QUESTIONS CONCERNING PROFESSIONAL LICENSES APPLY TO ALL PROFESSIONAL LICENSES REGARDLESS OF PROFESSION.
YES

NO
Have you ever been disciplined in any manner by any public entity or professional or trade association for any violation of any professional
licensing law, regulation or ethical rule, including the Ohio Division of Real Estate?
YES

NO
Have you ever been refused or denied any professional license or registration by any public entity, including the Ohio Division of Real Estate?
YES

NO
Have you ever had any professional license revoked, suspended or limited in any way for any reason?
YES

NO
Have you ever been notified by any public entity or professional or trade association that you were under investigation for any violation of any
professional licensing law, regulation or ethical rule, including the Ohio Division of Real Estate?
YES

NO
Have you ever been the subject of any unsatisfied judgments?
YES

NO
Have you ever been convicted of a misdemeanor or felony offense, excluding misdemeanor traffic offenses? If yes, please explain (For
purposes of this application, a traffic offense is a violation of Title 45 of the Ohio Revised Code) EXPLAIN:___________________________
THE APPLICANT MUST COMPLETE THE FOLLOWING CERTIFICATION
I certify that all of the statements on this application and all of the attached materials are complete and accurate, and that I am a U.S.
citizen or an alien lawfully admitted to the U.S. I understand that any false statement on this form or the attached materials may
subject me to criminal prosecution and the loss of my Ohio real estate license.
SIGNATURE OF APPLICANT
DATE
THE SPONSORING BROKER MUST COMPLETE THE FOLLOWING CERTIFICATION
I hereby certify that, from the investigations made by me, I find the above listed applicant for a real estate license is honest, truthful and
have met all requirements of licensure. I understand that any false statement on this form or the attached materials that is known to me at
the time of my signing may subject me to criminal prosecution and the loss of my Ohio real estate license.
NAME OF BROKER (PLEASE TYPE OR PRINT)
FILE NUMBER
SIGNATURE OF BROKER
DATE
NOTICE: Per R.C. Section 149.43, this application and the information contained therein, except for the social security number, is public record.
NOTICE: Refusal of check payment by the drawer’s bank my result in a $100 fee to the superintendent and/or the rejection or withdrawal of this application.
COM 3568 REPL-17-0009 (Rev. 2/2024)
“An Equal Opportunity Employer and Service Provider”
Page 2 of 2
Note: The name and date of birth on this application must match the name and date of birth on the government issued photo identification you
will use to identify yourself at the examination site.