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DBPR CILB 22 - Request for Address or Name Change

1 of 4 DBPR cilb 22 Request for Address or name Change 2018 May Incorporated by Rule: State of Florida Department of Business and Professional Regulation Construction Industry Licensing Board Request for Address or name Change Form # DBPR cilb 22 APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. APPLICATION REQUIREMENTS Applicants submitting a contractor name Change must submit: Supporting legal documentation of name Change ( court documents showing name Change , marriage license, divorce decree, etc.) Please mail your completed application and documentation to: Department of Business and Professional Regulation 2601 Blair Stone Road Tallahassee, FL 32399-0783 2 of 4 DBPR cilb 22 Request for Address or name Change 2018 May Incorporated by Rule: State of Florida Department of Business and Professional Regulation Construction Industry Licensing Board Request for Address or name Change Form # DBPR cilb 22 If you have any questions or need assistance in completing this application, please contac

Request for Address or Name Change . Form # DBPR CILB 22 . APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your application to ensure faster processing. APPLICATION REQUIREMENTS . Applicants submitting a contractor name change must submit:

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