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Get OR OSBN?613 2016-2024

out this form electronically, then print it out to sign, and either mail, email, or fax to OSBN. Please read Section 2 carefully to ensure you are sending the appropriate documentation with this form to update your records. Section 1: Type of Request- select all that are applicable: Legal Name Change Change of Mailing Address Change to Contact Information (email, phone, etc) Section 2: Acceptable Types of Documentation 1. Change of Legal Name on Record- Include a copy of your proof of legal .

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