Any change of address by a licensee requires notice within 30 days to which of the following

Address Change

You are required to notify the board of any change in your address within 30 days. Change of address may be made on-line or in writing to the board.

  • On-line Change of Address Form
  • Fillable Change of Address Form (PDF)

Name Change

You are required to notify the board of any change in name within 30 days. Any change of name must be supported with one of the following (the board will not accept these documents by facsimile):

  • Copy of marriage certificate.
  • Copy of court document authorizing a legal name change.
  • Clear copy of driver’s license and social security card with your new name.

You are required to notify the board of any change of address or name within 30 days. Please be aware that the Board DOES NOT automatically issue a new license containing your new address or name. Please download the Application for Reissue of License if you would like to request an updated license and remember to include the appropriate fees for this service.

Be advised that your address of record is public information. You may indicate an alternate address (i.e. your work address), if you prefer your residential address not be made public. Licensees using alternate addresses are still required by law to report their residential address although the information will not be made available to the public. Note: all correspondence from the Board will be mailed to the address of Record ONLY.

B & P 4100. Change of Address or Name - Notification to Board
(a) Within 30 days after changing his or her address of record with the board or after changing his or her name according to law, a pharmacist, intern pharmacist, technician, or designated representative shall notify the executive officer of the board of the change of address or change of name.

1704. Change of Address or Name - Notification to Board
Each person holding a certificate, license, permit, registration or exemption to practice or engage in any activity in the State of California under any and all laws administered by the Board shall file a proper and current residence address with the Board at its office in Sacramento and shall within 30 days notify the Board at its said office of any and all changes of residence address, giving both the old and new address.

Section 31A-23a-412 of the Utah Insurance Code requires all licensees to notify the Commissioner in writing, within 30 days, of any change of address or telephone number. Producer licensees must process their own license changes electronically via SIRCON.

Correspondence from the Department is mailed to the licensee’s business mailing address on file with the department. If a PO Box is used, a street address must also be furnished.

If you are moving from one state to another, you are not able to complete your address change through SIRCON or NIPR. In accordance with Rule R590-244-11, this request must be submitted via fax, email or a PDF attachment to an email:

  • The name and title of the individual submitting the amendment,
  • The relationship to the licensee of the individual submitting the amendment,
  • The following attestation made by the individual submitting the amendment: “I hereby attest that all of the information submitted is true and correct, and that I am the individual licensee for whom the requested change is being submitted, or an authorized responsible representative of the individual or agency licensee for whom the requested change is being submitted.“

Please submit the request by faxing to 385-465-6055 or emailing as a PDF attachment to .

18VAC135-20-170. Maintenance of licenses.

A. Name and address.

1. Salespersons and individual brokers shall at all times keep the board informed of their current name and home address. Changes of name and address must be reported to the board in writing within 30 calendar days of such change. The board shall not be responsible for the licensee's failure to receive notices, communications and correspondence caused by the licensee's failure to promptly notify the board of any change of address. A licensee may use a professional name other than a legal name if that professional name is filed with the board prior to its use. The professional name shall include the licensee's first or last name and shall not include any titles.

2. Salespersons and brokers shall be issued a license only to the place of business of the sole proprietorship or firm with which the salesperson or broker is active.

3. Principal brokers must at all times keep the board informed of their current firm and branch office name and addresses and changes of name and address must be reported to the board in writing within 30 calendar days of such change. A physical address is required. A post office box will not be accepted.

B. Discharge or termination of active status.

1. When any salesperson or broker is discharged or in any way terminates his active status with a sole proprietorship or firm, it shall be the duty of the sole proprietor or principal broker to return the license to the board so that it is received within 10 calendar days of the date of termination or being notified of the status change. The sole proprietor or principal broker shall indicate on the license the date of termination, and shall sign the license before returning it.

2. When any principal broker is discharged or in any way terminates his active status with a firm, it shall be the duty of the firm to notify the board and return the license to the board within three business days of termination or being notified of the status change. The firm shall indicate on the license the date of termination, and shall sign the license before returning it. See § 54.1-2109 of the Code of Virginia for termination relating to the death or disability of the principal broker.

Statutory Authority

§§ 54.1-201 and 54.1-2105 of the Code of Virginia.

Historical Notes

Derived from VR585-01-1 § 5.2, eff. July 15, 1987; amended, Virginia Register Volume 5, Issue 23, eff. October 1, 1989; Volume 7, Issue 14, eff. May 15, 1991; Volume 8, Issue 13, eff. May 15, 1992; Volume 11, Issue 18, eff. June 28, 1995; Volume 15, Issue 5, eff. January 1, 1999; Volume 19, Issue 12, eff. April 1, 2003; Volume 24, Issue 11, eff. April 1, 2008; Volume 31, Issue 26, eff. November 1, 2015.

Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.

When an insurance licensee moves he has how long to notify the Florida Dept?

*NOTE: Most licensees have 30 days from the change in your information, to notify the Department or be subject to administrative action (s.

How long does a North Carolina agent have to notify the department of insurance in the event of a change in residence address?

According to N.C.G.S. 58-2-69(b) " Every licensee must give written notification to the Commissioner of any change of the licensee's residential address within 10 business days after the licensee moves into their new residence.

How do I change my address on my Michigan insurance license?

Individual Licensees.
All individual licensees must use the Contact Change Request (CCR) page on the NIPR website. ... .
Licensure information must be displayed on the NAIC PDB in order to use the CCR..
Licensees must use their National Producer Number (NPN) or their Social Security Number (SSN) to utilize the CCR..

What is the maximum period for a temporary license in this state quizlet?

Terms in this set (15) A temporary license is normally valid for? 180 days.