Fill Out a Valid Address Change California Template Access This Form

Fill Out a Valid Address Change California Template

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.

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Overview

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 California Preview

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.

Last

Name of Firm

 

 

First

Middle

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

 

 

Street

Apt. # Suite # (check one)

City

Alternate Address for Mail Drops and PO Boxes

State

Zip

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.

Street

Home

Business (check one)

Apt. #

Suite # (check one)

City

 

State

Zip

 

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

Document Features

Fact Name Description
Separate Submission Requirement A separate address change notice must be submitted for each type of license held by the applicant, ensuring accurate record-keeping by the California Board of Accountancy (CBA).
Public Information The address of record for licensed CPAs and firms is public information. All correspondence from the CBA will be sent to this address.
30-Day Notification Rule Licensees are required to notify the CBA of any address changes within 30 days. Failure to do so may result in a citation and fines ranging from $100 to $1,000, as outlined in California Code of Regulations, Title 16, Division 1, Sections 3, 95, and 95.2.
Mailing List Opt-Out Licensees can opt out of having their names included on a mailing list that the CBA sells to requestors. This option is available on the address change form.
Alternate Address Requirement If the address of record is a PO Box or Mail Drop, a physical street address must also be provided. This street address will not be made public on the CBA’s Web License Lookup.
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