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  9:42:39 PM 6/19/2021
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CILB 22 - Request for Address or Name Change

This form is to be used by businesses currently licensed by the Construction Industry Licensing Board and is used to report changes of business name.

Application Requirements:
  • FINANCIAL/CREDIT: If a Financially Responsible Officer has been appointed and previously approved by the board, the Financially Responsible Officer must also sign this form and submit an original bond or bond rider reflecting the new business name.
  • FEE: Pay the required fee as provided in the application. Make check payable to the Department of Business and Professional Regulation.
  • APPLICATION: Complete the application by clicking on the "Printable Application" link at the bottom of the page.

  • MORE INFORMATION: Learn more about this profession's application requirements (use the back button or arrow to return to this page).

If you have questions or need assistance in completing this application, please call the Customer Contact Center at 850.487.1395 or use our convenient contact form.

Application Currently Unavailable Using Online Services

Apply Using a Printable Application
2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395