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CONSTRUCTION CONTRACTORS BOARD P.O. Box 14140 Salem OR, 973095052 Phone (503) 3784621 | Fax (503) 3732155 www.oregon.gov/ccbINDIVIDUAL NAME CHANGE REQUEST FORM NAME AND LICENSE NUMBER ___ Business

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How to fill out inactive license status request

01

Fill out the necessary personal information on the form, such as full name, contact information, and license number.

02

Provide a reason for requesting inactive license status, such as retirement or relocation.

03

Submit any required supporting documentation, such as proof of retirement or a new address.

04

Pay any applicable fees for processing the request.

05

Double-check all information before submitting the form to ensure accuracy.

Who needs inactive license status request?

01

Individuals who are no longer actively using their professional license but want to maintain their credentials.

02

People who have retired from their profession and wish to keep their license in an inactive status.

03

Individuals who have moved to a different state and need to update their license status accordingly.

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What is inactive license status request?

Inactive license status request is a formal request submitted by individuals who wish to temporarily suspend or place their professional license on hold.

Who is required to file inactive license status request?

Professionals who are not actively using their license but wish to maintain it in good standing may be required to file an inactive license status request.

How to fill out inactive license status request?

To fill out an inactive license status request, individuals typically need to submit a form provided by the licensing board or regulatory agency. This form may require personal information, license details, reasons for inactive status, and any supporting documentation.

What is the purpose of inactive license status request?

The purpose of an inactive license status request is to allow professionals to temporarily suspend their license without losing it, typically for reasons such as taking a leave of absence or transitioning to a different career.

What information must be reported on inactive license status request?

Information that may need to be reported on an inactive license status request includes personal details, license number, reasons for inactive status, expected duration of inactivity, and any required supporting documentation.

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