The Address Change California form is essential for updating your address with the California Board of Accountancy (CBA). Each license type requires a separate notice, ensuring that your contact information remains current and accurate. Don’t risk fines or miscommunication—fill out the form by clicking the button below.
Changing your address is an important task that licensed professionals in California must manage with care, particularly those in the accounting field. The Address Change California form is a crucial document that facilitates this process for Certified Public Accountants (CPAs), Public Accountants (PAs), and firms. Each license type requires a separate notice, ensuring that the California Board of Accountancy (CBA) has accurate records. The form collects essential information, including the applicant's name, license number, and both the new and former addresses of record. Notably, if the new address is a P.O. Box or mail drop, a street address must also be provided. This requirement helps maintain transparency, as the address of record is public information and will be used for all official correspondence. Licensees must act promptly, as failing to notify the CBA within 30 days can result in fines ranging from $100 to $1,000. To further protect privacy, individuals can opt out of having their information included in the CBA's mailing list. This form serves as a vital tool for ensuring that communication remains seamless and that professionals stay compliant with state regulations.
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.
Name of Firm
Corporation
Partnership
Fictitious Name
License No.
FIRM NAME
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
is public information, and all CBA
Home
Business (check one)
correspondence will be sent to this
address.
Business Name (if different from name above)
Street
Apt. #
Suite # (check one)
City
State
Zip
Former Address of Record
Apt. # Suite # (check one)
Alternate Address for Mail Drops and PO Boxes
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.
Daytime Phone Number
-
You may confirm your change of
address on License Lookup at
Area Code
www.cba.ca.gov.
I certify the truth and accuracy of all of these statements and representations.
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
Form 3519 California 2022 - Form FTB 3539 allows eligible entities to postpone their filing deadline without a written request if conditions are met.
California 3500 - Financial data including previous filings with the California Franchise Tax Board (FTB) must be disclosed.
California 51 055A - This form supports the state’s program for fruit and vegetable standardization, ensuring quality control across the industry.