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  9:45:39 PM 4/23/2014
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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.
  • 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
1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395