Address Change Form California – Fill Out and Use This PDF

The Address Change Form California is the official notification form that licensed CPAs, Public Accountants, and other professionals regulated by the California Board of Accountancy (CBA) must submit when changing their address of record. California law requires this notification within 30 days of any address change, and each license type requires a separate submission. Keeping your CBA address current ensures you receive all official renewal notices and regulatory communications on time.

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Address Change Form California PDF Details

In California, licensed CPAs, Public Accountants, and other professionals regulated by the California Board of Accountancy (CBA) must formally notify the Board whenever their address of record changes. The CBA requires this notification within 30 days of the address change taking effect.

Each license type held by an individual requires a separate form submission. The completed form can be sent to the CBA by mail or by fax using the contact details printed on the form. Keeping the CBA informed of your current address is a legal obligation. Failing to notify the CBA within the required timeframe means official mail, renewal notices, and regulatory communications will be delivered to an outdated address.

The CBA maintains a public record of all licensee addresses. Persistent failure to keep this record current can lead to complications during license renewal. If you hold multiple license types with the CBA, submit a separate form for each license. For a general address change form, see our Address Change Form. If you also need to update your California DMV address, our California DMV DL 546 form covers that process.

Question	Answer
Form Name	Address Change Form California
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Filing deadline	Within 30 days of address change
Submit to	California Board of Accountancy (CBA)
Submission methods	Mail or fax
Other names	cba 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
			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
NEW Address of Record (An Address of Record is Required)			is public information, and all CBA
	Home	Business (check one)	correspondence will be sent to this
	Home	Business (check one)	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
Daytime Phone Number			address on License Lookup at
	Area Code		address on License Lookup at
	Area Code		www.cba.ca.gov.
I certify the truth and accuracy of all of these statements and representations.			www.cba.ca.gov.

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

How to Edit Address Change Form California Online for Free

Filling out the California Board of Accountancy address change form online is quick using the FormsPal PDF tool. Follow these steps to complete your form and download a copy:

Step 1: Click the orange "Get Form" button at the top of this page to open the PDF editor in your browser.

Step 2: Use the PDF editor to fill in the required fields. You can add text, make edits, and sign the document online without downloading any software.

The form requires specific details. Pay attention to the following fields:

1. Complete the address of record section carefully. This includes all fields shown in the first part of the form:

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

2. Fill in the following address fields: City, Former Address of Record, Street, State, Zip, Apt or Suite (check one), and Alternate Address for Mail Drops if your address of record is a PO Box.

Part # 2 for submitting california board of accountancy name change

Double-check the Alternate Address for Mail Drops and City fields. These are required for licensees who use a PO Box as their mailing address.

3. The final section covers the notification statement, the CBA mailing address, and the fax number for submission. Complete all fields in this section before submitting.

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

Step 3: Review all completed fields for accuracy. Click "Done" to finalize your document. You can then download the completed address change form or email it directly from your FormsPal account.

Frequently Asked Questions: California Address Change Form

Who needs to file the Address Change Form California?

Licensed CPAs, Public Accountants, and other professionals regulated by the California Board of Accountancy (CBA) must file this form whenever their official address of record changes.

What is the deadline for submitting the form?

The CBA requires submission within 30 days of the date your address changes. Submit as soon as possible to avoid any gap in your official address record.

Can I submit the form by email?

No. The CBA accepts the California address change form by mail or fax only. The mailing address and fax number are printed in the final section of the form.

What happens if I miss the 30-day filing deadline?

If you fail to notify the CBA within 30 days, official mail and renewal notices will go to your old address. Persistent non-compliance can cause complications during license renewal.

Do I need to submit a separate form for each license?

Yes. If you hold multiple licenses regulated by the CBA, submit a separate address change form for each license type.

If you need a general address change form, visit our Address Change Form page. You may also find the Address Name Change Form useful if you are updating both your name and address at the same time.