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Change of Name, Address, or Supervision Form

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If you have a name change, a new license certificate will be mailed to you at no charge within 7 to 10 business days.

Please login below to access the online address change form. Your date of birth must be entered as mm/dd/yyyy (example: 01/01/2000).




Page Updated: 11/7/2016 2:57:17 PM