Address Change Form California PDF Details

In the state of California, individuals or firms holding a license in certain professions, such as Certified Public Accountants (CPAs) and Public Accountants (PAs), are required to notify the California Board of Accountancy (CBA) promptly when changing their address of record. This procedure is standardized through the use of an Address Change California form. This form, designed for clear communication of new address details, mandates separate submissions for each type of license held. It gathers comprehensive information including the licensee's name, license number, previous and new addresses, and, importantly, it distinguishes between home and business addresses, including provisions for mail drop and PO Box scenarios. It is crucial to understand that the address of record becomes public information, accessible online, with all official communications from the CBA being directed to this address. Moreover, failure to inform the CBA within 30 days of a change may result in fines ranging from $100 to $1000, underscoring the form’s legal importance. Additionally, the form offers an option for licensees to opt out of having their names sold for mailing list purposes, reflecting a nod to privacy concerns. Submissions can be made via mail or fax, providing flexibility for compliance. This form not only facilitates administrative efficiency but also serves as a legal document ensuring that licensees maintain up-to-date records with the board, aligning with regulations under the California Code of Regulations, Title 16, Division 1, Sections 3, 95, and 95.2.

QuestionAnswer
Form NameAddress Change Form California
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescba address change, cba change address, california cpa address change, california cpa change of address

Form Preview Example

Address Change Form

A separate address change notice must be submitted for each license type.

PLEASE PRINT

Name of Applicant for Licensure

Last

Name of Licensee

First

Middle

Individual (CPA/PA) - License No.

Last

Name of Firm

 

 

First

Middle

Corporation

Partnership

Fictitious Name

License No.

FIRM NAME

 

Be advised that if you are a licensed

 

 

 

NEW Address of Record (An Address of Record is Required)

CPA/PA or firm, your address of record

is public information, and all CBA

 

Home

Business (check one)

correspondence will be sent to this

 

address.

 

 

 

 

 

 

 

 

Business Name (if different from name above)

Street

Apt. #

Suite # (check one)

City

State

Zip

Former Address of Record

 

 

Street

Apt. # Suite # (check one)

City

Alternate Address for Mail Drops and PO Boxes

State

Zip

If your address of record is a PO Box or Mail Drop, you are required to provide a street address. This address will not be posted on the CBA’s Web License Lookup.

Street

Home

Business (check one)

Apt. #

Suite # (check one)

City

 

State

Zip

 

Daytime Phone Number

-

-

You may confirm your change of

 

 

address on License Lookup at

 

Area Code

 

 

 

www.cba.ca.gov.

I certify the truth and accuracy of all of these statements and representations.

 

 

Signature

 

 

Date

 

Print your name

 

 

 

 

A licensee who fails to notify the California Board of Accountancy within 30 days of a change of address of record may be subject to citation and fine (fines ranging from $100-$1000) under the California Code of Regulations, Title 16, Division 1, Sections 3, 95 and 95.2.

The CBA maintains a list of all licensees. This list is sold to requestors for mailing list purposes. Check here only if you do not want your name included on this list. Please Note:Your name and address of record is public information and can be accessed through our website at www.cba.ca.gov.

This form is being provided for your convenience. Other forms of written notice may be accepted by the CBA.

Mail to:

California Board of Accountancy, 2000 Evergreen Street, Suite 250, Sacramento, CA 95815-3832

OR FAX to: (916) 263-3675

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california board of accountancy name change completion process described (step 1)

2. The next step is to fill in all of the following fields: City, Former Address of Record, Street, City, State, State, Zip, Apt , Suite check one, Zip, Alternate Address for Mail Drops, If your address of record is a PO, Street, City, and Home.

Part # 2 for submitting california board of accountancy name change

In terms of Alternate Address for Mail Drops and City, ensure that you double-check them in this current part. These are thought to be the most significant fields in this file.

3. The following section is mostly about A licensee who fails to notify the, The CBA maintains a list of all, This form is being provided for, Mail to, California Board of Accountancy , and or FAX to - type in each of these fields.

california board of accountancy name change completion process clarified (part 3)

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