REE-151-11
Rev. 07/2020
IREC use only
License #:
__________________________
Approved:
__________________________
INSTRUCTOR REQUEST
FOR CE CREDIT
575 E. Parkcenter Blvd., Suite 180
Boise, Idaho 83706
Offi ce: (208) 334-3285
Fax: (208) 334-2050
licensing@irec.idaho.gov
irec.idaho.gov
Pursuant to Idaho Code 54-2023(6)(e), if a certifi ed* course instructor teaches a
live course for which continuing education credit may be obtained, credits may be granted for the number of
classroom hours taught. Submit this form via mail, fax or email to licensing@irec.idaho.gov AT LEAST 60 days
prior to your license renewal date.
*Instructor must be certifi ed by the Idaho Real Estate Commission.
PERSONAL INFORMATION
Name License No. (required) E-mail
COURSES TAUGHT FOR WHICH CREDIT IS REQUESTED
Course ID and Course Title
(as certifi ed by IREC)
Credit
Hours
Course Delivery Method
(check one)
Date(s)
Course
Taught
Provider Director Name &
Signature
IREC
Use
Only
Live Remote Online
DO NOT WRITE BELOW THIS LINE—FOR IREC USE ONLY
You were granted _______ CE elective hours toward your license renewal period ending _________________________.
_________________________________________________________ _________________________
Education and Licensing Director Date