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Get Dbpr License Name Change

DBPR 0080-1 Request for Address or Name Change STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SELECT TRANSACTION TYPE Transaction Type q Name Change individual q Name Change business q Change Mailing Address q Change Contact Information phone and/or email q Change Physical Address LICENSEE INFORMATION License Number Licensee Name previous NEW MAILING ADDRESS Street Address or P.

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How to fill out the Dbpr License Name Change online

Changing your name on a business or professional license is an important process. This guide will help you accurately complete the Dbpr License Name Change form online to ensure your information is updated correctly.

Follow the steps to fill out the Dbpr License Name Change form online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Select the appropriate transaction type by checking one of the options: Name Change (individual), Name Change (business), Change Mailing Address, Change Contact Information (phone and/or email), or Change Physical Address.
  3. Fill in your license number, previous licensee name, and new licensee name in the Licensee Information section.
  4. In the New Mailing Address section, provide your street address or P.O. Box, city, state, county (if applicable in Florida), primary phone number, zip code (with optional +4), and country.
  5. Enter your new contact information by providing your primary email address in the designated field.
  6. If your physical address differs from your mailing address, complete the New Physical Address section with the required details.
  7. Optionally, fill in any additional contact information, such as an alternate phone number, fax number, and alternate email address.
  8. Affirm the accuracy of your information by signing in the designated space and including the date.
  9. Once the form is completed, save your changes. You may also choose to download, print, or share the form as needed.

Complete your Dbpr License Name Change form online today.

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You may submit the change in writing or by fax to: Department of Business and Professional Regulation. Central Intake Unit. ... Fax: 850-488-8040. It is the licensee's responsibility to notify the department in writing of the current mailing address. Request for Address or Name Change (PDF) may be submitted for the change.

Complete this entire application. Pay $50.00 fee (make check payable to the Department of Business and Professional Regulation). Updated registration with Florida Secretary of State's Office. Updated Certificate of Workers' Compensation Insurance reflecting the company's new name.

To begin using DBPR's online services you will first need to Create an Account. Select “Create My Account” to begin the one time registration process. login using something other than your e-mail address enter the a user id by entering it in the “Or enter your own user id:” box.

DBPR Celebrates Customer Service Week Area that served you: Customer Contact Center, 850-487-1395.

Log onto your MQA Online Services Portal account , select “Request Name Change” from the “Manage My License” dropdown menu. Mailing address – DOH, Division of Medical Quality Assurance, Post Office Box 6320, Tallahassee, Florida 32314-6320.

Log onto your MQA Online Services Portal account , select “Request Name Change” from the “Manage My License” dropdown menu. Mailing address – DOH, Division of Medical Quality Assurance, Post Office Box 6320, Tallahassee, Florida 32314-6320.

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