Board Requests

submit THIS form to Board to recieve a copy of agenda by mail or email prior to each Board meeting.

Complete this form if there is a change in EITHER your address or name, as recorded by the Board. $25.00 fee applies only to name changes.

Complete this form to request a verification of your license or certificate. Submit $15.00 per request for verification.

Below release should be signed by applicant if person other than applicant must discuss status, changes and other application information.