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Manufactured Housing TDHCA Licensee Registration Form - complete this form to:

Take an 8-hour CE course online or
Attend an 8-hour CE class in person

Customer Information

Enter a NEW password & username. Use something that you have never used on this page.

Username :

(Enter a simple one-word user name and remember this for logon purposes)

Password :

Confirm Password :

Email Address :

Confirm Email Address :

First Name :

For salespersons Exactly as shown on your TDHCA license or for others as shown in TDHCA Records for a principal or related person

Middle Name or Initial :

For salespersons Exactly as shown on your TDHCA license or for others as shown in TDHCA Records for a principal or related person

Last Name :

For salespersons Exactly as shown on your TDHCA license or for others as shown in TDHCA Records for a principal or related person

Name Suffix :

For salespersons Exactly as shown on your TDHCA license or for others as shown in TDHCA Records for a principal or related person

Licensee’s Home Street Address :

City :

State :

Zip Code :

Your personal phone # :

Your sponsor or your company's Name :

Location Street Address :

Location City :

Location State :

Location Zip Code :

Leave the next two boxes blank if you are not a salesperson.

Salesperson - Insert your TDHCA License # :

MHSLSP000

Expiration Date :

(MM/DD/YYYY)

Your sponsor’s TDHCA license or your company’s TDHCA license number :

Retailer Lic.
Broker Lic.
Installer Lic.
Manufacturer Lic.

Your Sponsor's TDHCA License # or Your Company's TDHCA License #: (AS SHOWN ON LICENSE)

For Retailers - License #:

MHDRET000

Expiration Date :

(MM/DD/YYYY)

Personal Information
This personal information is required by the TXMHS for verification purposes while you are taking your online course. It is VERY IMPORTANT that you remember all of these values you are entering below.
Height :	Ft. Inches.
Weight :	lbs.
Middle Name :
Eye Color :
Hair Color :
Date of Birth :	(MM/DD/YYYY)
Place of Birth :	City/Town State
Favorite Color :
Make of Your Vehicle :
Last 4 Digits of SSN :
Mother's Maiden Name :

I certify that I am the person who holds this salesperson TDHCA license or I certify that I am qualified to take this course as a principal, owner, partner, officer, or a RELATED person registered with TDHCA on the license application and that I am the person who will complete this Continuing Education Course online. I further certify that all the information provided on the registration page and any oother personal information that I may provide TXMHS while taking this online course is true and correct to the best of my knowledge. I have read and understand TXMHS’S payment / refund policy and I agree to abide by the terms therein.