Bureau of Professional Licensing PO Box 30670 Lansing, MI 48909 Telephone: (517) 2419288 www.michigan.gov/bpl BPLHelp michigan.govREQUEST FOR NAME AND/OR ADDRESS UPDATE Authority: 1980 PA 299Name.
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How to fill out the MI LARA/BPL-NAChg online
Filling out the MI LARA/BPL-NAChg form is an important step for users who need to update their name or address in the Bureau of Professional Licensing records. Follow this guide to navigate the online process efficiently and ensure all necessary information is provided correctly.
Follow the steps to complete the form online.
- Press the ‘Get Form’ button to access the MI LARA/BPL-NAChg form and open it in your preferred editor.
- In the first section, enter the 'Name on Current License'. Be sure to include any 'doing business as' (d/b/a) names if applicable.
- Next, input your 'Permanent ID Number'. This number is essential for processing your request.
- Fill in the 'New Name Requested' section with your desired name change, including any applicable d/b/a names.
- Proceed to the 'New Address Requested' field where you will enter your updated address. Make sure to input the 'State', 'City', 'Zip Code', and 'Phone' number accurately.
- Provide your 'Email Address' to receive confirmation or communications regarding your request.
- Sign and date the form in the designated areas to verify the information provided.
- In the 'Fee Payment Information' section, check all applicable licenses for which you are requesting changes. Remember that name changes require a $10.00 reprint fee, while address changes do not.
- Finally, review all your entries for accuracy, then proceed to save your changes, download, print, or share the completed form as needed.
Complete your MI LARA/BPL-NAChg form online today and ensure your licensing information is up to date!
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