Get Address Change - Speech-language Pathology And Audiology ...

Changing your address with the Speech-Language Pathology and Audiology Board is an important step to ensure you receive essential correspondence. This guide provides clear, step-by-step instructions for completing the Address Change form online with ease.

Follow the steps to successfully submit your address change online.

1. To obtain the Address Change form, press the ‘Get Form’ button to access it in your editor.
2. Begin filling out Part I by providing your full name in the designated space.
3. Select your license type by checking the appropriate box (e.g., SP, AU, DAU, SPA, RPE, HA, AIDE).
4. Enter your license number and contact phone number, ensuring to include the area code.
5. Fill out the public information address, which will be used for correspondence. Include a valid physical address if a P.O. Box is provided.
6. Complete the physical address section with your current street address, city, state, and ZIP code.
7. If you require replacement documents, proceed to Part II, where you will select the type of document you request. Remember to include the $25.00 fee for each replacement.
8. Make sure to provide your signature and date at the bottom of the form, affirming that the information is true and correct.
9. After completing all fields, save the changes. You can then download, print, or share the completed form as required.

Begin filling out the Address Change - Speech-Language Pathology and Audiology form online today!