Change of Address
Change of Address Form- Individual Registrant or applicant
- Fill out the form and sign.
- Print the form
- Mail or fax the completed Change of Address form to:
Board of Technical Registration
1110 W. Washington St., Suite 240
Phoenix, Arizona 85007
Fax: (602) 364-4931
-OR-
Email to: [email protected]
Additional Information
It is important to keep your address and contact number (and any change in the firm with which you are associated) current with the Board.
Note: Your residential address is not public knowledge unless it is the only address on record.
The filing of this form only changes your personal registration record-- all changes in firm addresses or principals must be filed using the Firm Registration Packet/Branch Registration Packet.
To update your Firm or Branch address, please submit a Firm Registration Packet/Branch Registration Packet and check the box indicating an address change. There is no fee to change the address.
CHANGE OF ADDRESS FORM- FIRM & Branch
1.Fill out the form and sign.
2.Print the form
3.Mail or fax the completed form to:
Board of Technical Registration
1110 W. Washington St., Suite 240
Phoenix, Arizona 85007
Fax: (602) 364-4931
-OR-
Email to: [email protected]
ADDITIONAL INFORMATION
There is no fee to change the address using this form.
