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  4:08:16 AM 4/14/2021
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Designation of Primary and Secondary Qualifying Agents (ECLB 5)

This form is to be used by individuals who already qualify the business and wish to change their designation from Primary Qualifier to Secondary Qualifier or Secondary Qualifier to Primary Qualifier. Do not use this application if you do not already qualify the business as either a primary or secondary qualifier.

Application Requirements:
  • FEE: No fee required.
  • APPLICATION: Complete the application by clicking on the "Printable Application" link at the bottom of the 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