Also Known As (AKA) - Real Estate Council of Alberta

ALSO KNOWN AS (AKA)
NAME REQUEST
350, 4954 Richard Road SW, Calgary, AB T3E 6L1
Phone: (403) 228-2954 or 1-888-425-2754
Fax: (403) 228-3065 Web: www.reca.ca
2014/2015
A. INDUSTRY(IES) AND CLASS(ES) OF LICENCE *select all that apply
Real estate
Mortgage
Real Estate Appraisal
 Associate  Associate broker  Broker
 Associate  Broker
 Candidate  Appraiser
B. INDIVIDUAL INFORMATION
 Mr.
1. Last name
 Mrs.
 Ms.
2. Legal first name
3. Legal middle name(s)
(initials not acceptable)
4. Primary email address
5. Birth date (mm/dd/yyyy)
C. AKA POLICY
You may request to use an AKA name in your practice if it meets the following requirements:
 the AKA is a given name or a derivative of a given name(s);
 if the AKA is not a derivative of your given name(s), you must demonstrate that you are known by
that AKA (provide a sworn declaration that you are and have been known by the AKA name you
have requested and provide copies of documents that prove your current use of the requested
AKA, such as a copy of a driver’s licence, utility bill, bank statement, credit card statement,
passport, or a void cheque);
 the AKA is not misleading and does not undermine the integrity of the industry.
For further information about the Real Estate Council of Alberta’s (RECA’s) AKA policy, go to www.reca.ca.
D. DETAILS OF REQUEST
I request authorization to trade in real estate/deal in mortgages/provide real estate appraisal
services in my “also known as” name of ____________________________________.
E. AUTHORIZATION & DECLARATION
I consent to RECA’s collection, use, and disclosure of my personal information for licensing and other
regulatory purposes under the Real Estate Act and in accordance with the Personal Information
Protection Act.
I have provided my broker with a copy of this request form.
Signature
Date
Page 1 of 1
Form AKA01.14.2

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