Transcription of Change of Contact Information Form
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MOVING - LET US KNOW SDCL: 36-20B -29 requires holders of certificates to notify the Board within 30 days of Change of address or in employment. Mail from the Board office does not forward. It is also important to report other significant changes in your practice, such as name changes, personnel changes, and partner changes Certificate HolderLast name First Middle Certificate # Send Mail to Home Business E-mail address New Home address CityState Zip Home Phone CPA Firm/Employer Name New Employer address CityStateZip Employer Telephone Employer Fax Mail to: SD Board of Accountancy Fax to: (605) 367-5773 301 E. 14th St. Suite 200 Email to: Sioux Falls, SD 57104
MOVING - LET US KNOW. SDCL: 36-20B-29 requires holders of certificates to notify the Board within 30 days of change of address or in employment.
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Change of Address / Contact Details, Information, Address/Phone Change, Address/Phone Change Form, Address, Provider Information Change Form, Address/Name Change Form, Address Change, Standardized Provider Information Change Form, CHANGE, CONTACT, Change Pay-to Address/Tax ID Change, UPMC Health Plan