Uniform Application To Apply Military Service To An Experience Or Educational Requirement For Licensure

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Department of Commerce, Banking Division | Professional Licensing & Regulation Bureau
200 E. Grand Avenue, Suite 350 | Des Moines, IA 50309
Telephone: (515) 725-9021 or (515) 725-9022 | Fax: (515) 725-9032 |
Uniform Application to Apply Military Service to an
Experience or Educational Requirement for Licensure
This form may be used to request credit toward an experience or educational requirement for licensure based on military
education, training, or service obtained or completed in military service. Credit for military service may not be applied to an
examination requirement. “Military service” means honorably serving on federal active duty, state active duty, or national
guard duty, as defined in Iowa Code section 29A.1, in the military services of other states, as provided in 10 U.S.C. section
101(c), or the organized reserves of the United States, as provided in 10 U.S.C. section 10101. You may mail, hand deliver,
fax or e-mail a completed form. There is no fee for this application.
Name:
___________________________
Phone: _______________________________
Address: ___________________________
Email: _______________________________
___________________________
___________________________
Please check the license to which your application applies:
____
Architect
____
Licensed Public Accountant
____
Professional Landscape Architect
____
Associate Real Estate Appraiser
____
Professional Engineer
____
Certified General Real Estate Appraiser
____
Professional Land Surveyor
____
Certified Residential Real Estate Appraiser
____
Registered Interior Designer
____
Real Estate Broker/Broker Associate
____
Certified Public Accountant
____
Real Estate Salesperson
What is the experience or educational requirement for licensure to which your application applies?
Please identify the military education, training, or service you believe satisfies all or part of this requirement,
and attach documents, military transcripts, a certified affidavit, or forms that verify completion of the relevant
military education, training, or service, which may include, when applicable, the applicant’s Certificate of
Release or Discharge from Active Duty (DD Form 214) or Verification of Military Experience and Training (VMET)
(DD Form 2586).
__________________________
______________________
Signature
Date

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