Get Notification Of Address Change For Certificate, Permit, And Brokerage ... - Puc State Pa

Filing the Notification Of Address Change for Certificate, Permit, and Brokerage is an essential process for maintaining accurate records with the Pennsylvania Public Utility Commission. This guide provides clear instructions to help users easily complete the form online.

Follow the steps to successfully complete the notification form.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering the company name in the designated field at the top of the form. This should reflect the legal name of the entity holding the certificate, permit, or brokerage license.
3. Fill in the trade name, if applicable, in the provided space. Ensure that it matches any registered names associated with your services.
4. In the old address section, clearly write the previous mailing address associated with the certificate, permit, or brokerage license. Include all relevant details to prevent any delays.
5. Next, enter the new mailing address in the corresponding section. Double-check the information for accuracy, as this address will be used for official correspondence.
6. Provide a telephone number where you can be reached. This is important for any follow-up inquiries regarding your address change.
7. Sign the form with an authorized signature, confirming the address change. This can be completed electronically if allowed.
8. Print and clearly write your name in the designated area below the signature. This helps to identify the person signing the document.
9. Enter the current date in the specified section to indicate when the address change is officially submitted.
10. Please remind your insurance company of the address change as indicated on the form to ensure continued coverage and communication.
11. Once all sections are completed, save any changes, then download, print, or share the form as necessary for submission.

Complete your documents online today and ensure your address is up-to-date!