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Get the free Licensee Name/address Change Form

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Update your contact information for KY Radiation License with this Name/Address Change Form. Submit required legal documents for name changes.
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How to fill out licensee nameaddress change form

01
Obtain the licensee name/address change form from the relevant regulatory authority or their website.
02
Fill in your current licensee name and address in the designated fields.
03
Provide the new licensee name and address in the corresponding sections of the form.
04
Include any required identification or documentation to support your name/address change, such as ID or proof of residence.
05
Review the form for any errors or missing information.
06
Sign and date the form where indicated.
07
Submit the completed form according to the instructions (e.g., via mail, email, or in person) and keep a copy for your records.

Who needs licensee nameaddress change form?

01
Individuals or businesses that have legally changed their name or moved to a new address and need to update their licensing information.
02
Professionals in regulated industries, such as healthcare, real estate, or finance, who must maintain accurate contact details with licensing authorities.
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The licensee name/address change form is a document used to officially notify regulatory authorities of a change in the name or address of a licensed individual or business.
Individuals or businesses that hold a license and experience a change in their name or address are required to file the licensee name/address change form.
To fill out the licensee name/address change form, provide the current license information, specify the new name or address, and ensure all required fields are completed accurately before submitting it to the appropriate agency.
The purpose of the licensee name/address change form is to maintain accurate records with regulatory authorities and ensure that correspondence and legal notices reach the correct location or individual.
Information that must be reported includes the current name and address, the new name and address, license number, and any other relevant details as required by the regulatory authority.
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