Email Correspondence
We will respond to all emails based on the date order it was received. If you need immediate assistance between
the hours of 8:00am - 5:00pm Monday thru Friday, please call our Customer Contact Center at (850) 487-1395.
Required First Name:       Case Number:
(If Applicable)
Required Last Name:     License Number:
(If Applicable)
  Phone Number:     File Number:
(If Applicable)
Required Email Address:     Application Number:
(If Applicable)
Required Use this email as my customer contact?   Required Board Type:


(Max 200 Characters)


Email Body:
(Max 10,000 Characters)
(If Any)

Click here to view the allowed file extensions.
Required Security Code:
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Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395.