Paul Newman
Commissioner
Gary Pierce
Commissioner
Kristin K. Mayes
Chairman
Sandra D. Kennedy
Commissioner
Bob Stump
Commissioner

Arizona Corporation Commission

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Securities Division
Matthew J. Neubert - Director

1300 W. Washington St. 3rd Floor
Phoenix, AZ 85007
(602) 542-4242
(866) 837-4399

Dealer / Salesman Forms

All forms, instructions, and affidavits are in .PDF format. If you don't have Acrobat Reader, please visit http://www.adobe.com to download your free copy. All packets are in self-extracting .exe  format.

The following are NASD forms, which are used in connection with the registration of dealers and salesmen in Arizona.  Forms are also available from the Division in hard copy and may be requested by contacting the Division at (602) 542-4242, or by fax at (602) 594-7470, or by email at accsec@ccsd.cc.state.az.us.

Form BD - Uniform form to register as a dealer

Form BDW - Uniform form utilized to withdraw/terminate dealer registration

Form U-4 - Uniform form to register as a salesman

Form U-5 - Uniform form utilized to withdraw/terminate salesman registration

Form U-10 - Uniform examination request form for non-NASD salesmen and issuer-dealer salesmen.

Broker Dealer Instructions - Lists information required to be filed with the Division to register as a dealer

Salesman Requirements - Lists information about how to register as a salesman

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For a list of Arizona Corporations Commission Phone numbers click here