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Get Lic Change Of Address Online Form

State of California Change of Address Department of Insurance 320 Capitol Mall Sacramento CA 95814-4309 916 322-3555 or 800 967-9331 www. insurance. ca.gov LIC 447-7 Rev 08/07 You can change your address online at www. insurance. ca.gov under Online Services. Insurance. ca.gov LIC 447-7 Rev 08/07 You can change your address online at www. insurance. ca.gov under Online Services. Please note the online service is not available for those who are changing states. This form cannot be submitted electronically. Please complete the form and return by mail to the address above or fax to 916 327-6907. Every licensee is required to immediately notify the Department of Insurance in writing of any change in address. State of California Change of Address Department of Insurance 320 Capitol Mall Sacramento CA 95814-4309 916 322-3555 or 800 967-9331 www. insurance. ca*gov LIC 447-7 Rev 08/07 You can change your address online at www. insurance. ca*gov under Online Services. Please note the online service is not available for those who are changing states. This form cannot be submitted electronically. Please complete the form and return by mail to the address above or fax to 916 327-6907. Every licensee is required to immediately notify the Department of Insurance in writing of any change in address. Form must be completed and signed by the LICENSEE* If organization or partnership address change must be completed in the organization name and signed by an officer manager member corporations and limited liability company s or partner partnerships. Do not indicate same. or License number Social Security or Federal Employment Identification No* PRINT LICENSEE S FULL NAME As shown on license LAST FIRST MIDDLE OR BUSINESS ENTITY BUSINESS P. O. Box is not acceptable Number/Street City Apt. /Suite State Zip MAILING Street address or P. O. Box RESIDENCE P. O. Box is not acceptable SIGNATURE An officer member manager corporation or LLC or general partner partnership must sign. insurance. ca*gov LIC 447-7 Rev 08/07 You can change your address online at www. insurance. ca*gov under Online Services. Please note the online service is not available for those who are changing states. This form cannot be submitted electronically. Please note the online service is not available for those who are changing states. This form cannot be submitted electronically. Please complete the form and return by mail to the address above or fax to 916 327-6907. Every licensee is required to immediately notify the Department of Insurance in writing of any change in address. Please complete the form and return by mail to the address above or fax to 916 327-6907. Every licensee is required to immediately notify the Department of Insurance in writing of any change in address. Form must be completed and signed by the LICENSEE* If organization or partnership address change must be completed in the organization name and signed by an officer manager member corporations and limited liability company s or partner partnerships.

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