Get Where Do I Change My Address With Ga Board Of Dentistry Form

This guide provides step-by-step instructions for completing the Where Do I Change My Address With Ga Board Of Dentistry Form online. Ensuring that your address is up to date is essential for maintaining communication with the Georgia Board of Dentistry.

Follow the steps to complete the address change form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your previous name in the designated field, ensuring that the information matches your previous credentials.
3. Next, provide your title (RDH, DMD, DDS) and your license number to accurately identify your previous registration with the Georgia Board of Dentistry.
4. Fill in your previous mailing address in the appropriate section, ensuring it is complete and accurate for proper processing.
5. Enter your previous phone number, providing both your home and work numbers if applicable.
6. In the CURRENT Name field, update your name as it should appear moving forward.
7. Input your current mailing address in the field provided, ensuring it is accurate to avoid future communication issues.
8. Provide your current phone numbers, including home and work numbers, in the respective fields.
9. Complete the current work/office address section, indicating where you are currently employed or practicing.
10. Lastly, fill out the email address field for electronic communication and ensure that all information is accurate.
11. Sign and date the form to validate your request for the address change before submitting.
12. Once all sections are complete, save your changes, download, print, or share the form as necessary to ensure submission.

Ensure your address is updated by completing the form online today.