Form DBPR CPA8 "CPA Request for Name/Address Change" - Florida

What Is Form DBPR CPA8?

This is a legal form that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Florida Department of Business & Professional Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DBPR CPA8 by clicking the link below or browse more documents and templates provided by the Florida Department of Business & Professional Regulation.

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Download Form DBPR CPA8 "CPA Request for Name/Address Change" - Florida

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Page 1 of 2
State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Request for Name/Address Change
Form # DBPR CPA 8
IMPORTANT – Submit all items as indicated by the instructions below with your application to ensure faster
processing
If you have any questions or need assistance in completing this application, please contact the Department of
Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
APPLICATION FEES
 Name Change
No fee
 Submit legal documentation of name change (e.g. Court documents showing name change, marriage
license, divorce decree, etc.)
 Address Change
No Fee
 Request Duplicate Wall Certificate
$25.00 fee
(Payable to Department of Business and Professional Regulation)
Note: It is board policy to only issue one wall certificate for each active licensee.
DBPR Online
Account.
NOTE: Licenses can be printed at no charge by logging into your
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Rd
Tallahassee, FL 32399-0783
1) Application Instructions
a) Transaction Type
i)
Name Change
(1) Select this transaction if you need to update your name.
(2) Submit legal documentation of name change (e.g. Court documents showing name change,
marriage license, divorce decree, etc.)
ii) Address Change
(1) Select this transaction if you need to update your physical address and/or mailing address
information.
iii) Request Duplicate Wall Certificate
(1) Select this transaction if you need a duplicate wall certificate due to a name change or if your wall
certificate has been damaged, lost, stolen or destroyed.
(2) There is a $25.00 fee for the duplicate wall certificate.
(3) You are required to return the old wall certificate. If you cannot return the certificate, you must
send a notarized statement explaining the circumstances. It is board policy to only issue one (1)
wall certificate for each active licensee.
For more information regarding the requirements, please refer to Chapter 61H1, Florida Administrative Code and
Chapter 473, Florida Statutes. Links are located on the board’s website under
Statutes and
Rules.
DBPR CPA 8 Request for
Name/Address Change
Eff. Date: June 2021
Incorporated by Rule 61-35.003, F.A.C.
Page 1 of 2
State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Request for Name/Address Change
Form # DBPR CPA 8
IMPORTANT – Submit all items as indicated by the instructions below with your application to ensure faster
processing
If you have any questions or need assistance in completing this application, please contact the Department of
Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
APPLICATION FEES
 Name Change
No fee
 Submit legal documentation of name change (e.g. Court documents showing name change, marriage
license, divorce decree, etc.)
 Address Change
No Fee
 Request Duplicate Wall Certificate
$25.00 fee
(Payable to Department of Business and Professional Regulation)
Note: It is board policy to only issue one wall certificate for each active licensee.
DBPR Online
Account.
NOTE: Licenses can be printed at no charge by logging into your
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Rd
Tallahassee, FL 32399-0783
1) Application Instructions
a) Transaction Type
i)
Name Change
(1) Select this transaction if you need to update your name.
(2) Submit legal documentation of name change (e.g. Court documents showing name change,
marriage license, divorce decree, etc.)
ii) Address Change
(1) Select this transaction if you need to update your physical address and/or mailing address
information.
iii) Request Duplicate Wall Certificate
(1) Select this transaction if you need a duplicate wall certificate due to a name change or if your wall
certificate has been damaged, lost, stolen or destroyed.
(2) There is a $25.00 fee for the duplicate wall certificate.
(3) You are required to return the old wall certificate. If you cannot return the certificate, you must
send a notarized statement explaining the circumstances. It is board policy to only issue one (1)
wall certificate for each active licensee.
For more information regarding the requirements, please refer to Chapter 61H1, Florida Administrative Code and
Chapter 473, Florida Statutes. Links are located on the board’s website under
Statutes and
Rules.
DBPR CPA 8 Request for
Name/Address Change
Eff. Date: June 2021
Incorporated by Rule 61-35.003, F.A.C.
Page 2 of 2
State of Florida
Department of Business and Professional Regulation
Board of Accountancy
CPA Request for Name/Address Change
Form # DBPR CPA 8
Transaction Type
Check all that apply. NOTE: You must return your wall certificate to be issued a duplicate certificate.
 Name Change
[9006]
 Supporting legal documentation of name change (e.g. Court documents showing name change, marriage
license, divorce decree, etc.)
 Address Change
[9006]
 Change Physical Address
 Change Mailing Address
 Request Duplicate Wall Certificate
[8004]
 Return your wall certificate
 Submit $25 fee
 Supporting legal documentation of name change (if applicable)
APPLICANT INFORMATION
Fill out each section completely.
License/Permit Number:
PREVIOUS NAME
Last/Surname
First
Middle
Suffix
CURRENT NAME
Last/Surname
First
Middle
Suffix
CONTACT INFORMATION
Primary Phone Number
Primary E-Mail Address
PHYSICAL ADDRESS
(License Location (if different from mailing address))
Street Address
City
State
Zip Code (+ 4 Optional)
County
Country
MAILING ADDRESS
Street Address
City
State
Zip Code (+ 4 Optional)
County
Country
AFFIRMATION BY WRITTEN DECLARATION
Must be signed by applicant
I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I
understand that my signature on this written declaration has the same legal effect as an oath or affirmation. Under
penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. I
understand that falsification of any material information on this application may result in criminal penalty
or administrative action, including a fine, suspension or revocation of the license.
Signature
Date
Print Name
DBPR CPA 8 Request for
Name/Address Change
Eff. Date: June 2021
Incorporated by Rule 61-35.003, F.A.C.
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