Name Change and Replacement/Duplicate License Requests

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Name Change Form" link to complete and submit your name change and supporting documentation:

ONLINE NAME CHANGE FORM -

NAME CHANGE FORM - Online Form

Please use the "Duplicate License Form" link to request a new wall certificate or a wallet license due to a name change, or if you are requesting multiple wall certificates for multiple offices or to replace a lost or misplaced license.

ONLINE DUPLICATE LICENSE - 

After payment, you get Authorization Code # to place on Form. 

DUPLICATE LICENSE PAYMENT ONLY - Online Payment

DUPLICATE LICENSE - Online Form

PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-25-103.