Form DBPR CAM10 "Community Association Management Firm Maintenance Form" - Florida

What Is Form DBPR CAM10?

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 June 1, 2018;
  • 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 CAM10 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 CAM10 "Community Association Management Firm Maintenance Form" - Florida

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State of Florida
Department of Business and Professional Regulation
Regulatory Council of Community Association Managers
Community Association Management Firm Maintenance Form
Form # DBPR CAM 10
This application is to make changes to a current community association management firm
license. In order for a firm to offer management services there must be a designated licensed
Community Association Manager (CAM) on staff.
APPLICATION CHECKLIST – IMPORTANT – Submit items on the checklist below with your
application to ensure faster processing. Always keep a copy of your application and any
supporting documents submitted to the Department.
TRANSACTION
APPLICATION REQUIREMENTS
Complete Section I, II and VI.
Business name should be amended with the Department of
CAM Firm Name Change
State Division of Corporations.
Fee $15. Make check payable to the Florida Department of
Business and Professional Regulation.
CAM Firm Address Change
Complete Sections I, II and VI.
Fee $15. Make check payable to the Florida Department of
Business and Professional Regulation.
Designated CAM Change
Complete Sections I, III and VI.
Submit the $15 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
CAM Firm Employee Change
Complete Sections I, IV and VI.
Provide additional pages if necessary.
 Complete Sections I, V and VI.
Close Business
 Return license with application.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, FL 32399-0783
General Information:
a) Changes to the CAM Firm should match a change with the Department of States Division of
Corporation.
b) This form can not be used if a new CAM Firm business was created instead of amending a
previous business. An initial CAM Firm application, DBPR CAM 2, will need to be completed.
c) A name change will require an issuance of a new license.
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020
1 of 5
State of Florida
Department of Business and Professional Regulation
Regulatory Council of Community Association Managers
Community Association Management Firm Maintenance Form
Form # DBPR CAM 10
This application is to make changes to a current community association management firm
license. In order for a firm to offer management services there must be a designated licensed
Community Association Manager (CAM) on staff.
APPLICATION CHECKLIST – IMPORTANT – Submit items on the checklist below with your
application to ensure faster processing. Always keep a copy of your application and any
supporting documents submitted to the Department.
TRANSACTION
APPLICATION REQUIREMENTS
Complete Section I, II and VI.
Business name should be amended with the Department of
CAM Firm Name Change
State Division of Corporations.
Fee $15. Make check payable to the Florida Department of
Business and Professional Regulation.
CAM Firm Address Change
Complete Sections I, II and VI.
Fee $15. Make check payable to the Florida Department of
Business and Professional Regulation.
Designated CAM Change
Complete Sections I, III and VI.
Submit the $15 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
CAM Firm Employee Change
Complete Sections I, IV and VI.
Provide additional pages if necessary.
 Complete Sections I, V and VI.
Close Business
 Return license with application.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, FL 32399-0783
General Information:
a) Changes to the CAM Firm should match a change with the Department of States Division of
Corporation.
b) This form can not be used if a new CAM Firm business was created instead of amending a
previous business. An initial CAM Firm application, DBPR CAM 2, will need to be completed.
c) A name change will require an issuance of a new license.
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020
2 of 5
Application Instructions:
a) Section I – Application Type
i)
Check only the applicable transaction(s) you are seeking.
b) Section II - Business Information
i)
Include the current business name and license number.
ii) Provide the new name of the community association management firm as it is registered with
the Florida Division of Corporations.
iii) The “Doing Business As” (D/B/A) name must be provided as it is registered with the Florida
Division of Corporations, if the community association management firm uses a fictitious
name to conduct business.
iv) Applicants must provide the Tax Identification Number for the firm to be licensed. (Federal
Employer Identification Number or Social Security number, as applicable.) See
www.irs.gov
for more information.
v) Provide the name and title of the person making application for the community association
management firm. This person should be an owner, officer, or director of the firm authorized
to execute the application for the firm.
vi) Provide a valid phone number, fax number and email address. Contact information is often
used to quickly resolve questions with applications by telephone call or email. If contact
information is not provided, questions regarding applications will be mailed to the applicant’s
mailing address and may take longer to resolve.
c) Section II – Business Location Information
i)
Provide the new mailing address. This may be a post office box address.
ii) Provide the new physical location of the firm’s main place of business. This address must be
a physical location. A post office box is not acceptable for the business location address.
d) Section III – Designated Licensed Community Association Manager
i)
Provide the name, license number, Social Security number and address for the licensed
community association manager who will be designated to respond to all inquiries from and
investigations by the Department.
e) Section IV – License Community Association Manager Employees
i)
Indicate if the individual is being adding or removed from the Firm.
ii) Provide the names and license numbers for all employees who will be employed as
community association managers within the firm.
f)
Section V – Close Business
i)
Provide the name and license number of the business being closed.
g) Section VI – Affirmation by Written Declaration
i)
The applicant must sign and date the affirmation by written declaration. This should be the
owner, officer or director of the firm authorized to execute the application for the firm, as
provided in Section I of the application.
ii) If the applicant fails to sign the affirmation statement the Department will not process the
application.
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020
3 of 5
State of Florida
Department of Business and Professional Regulation
Regulatory Council of Community Association Managers
Community Association Management Firm Maintenance Form
Form # DBPR CAM 10
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.
Section I – Application Type
CHECK ONE OF THE APPLICATION TYPES
CAM Firm Name Change [3802/9006]
CAM Firm Address Change [3802/3021]
Designated CAM Change [3802/3022]
CAM Firm Employee Change [3802/3022]
Close Business [3802/8080]
Section II - Business Name Change
BUSINESS INFORMATION
Current Business Name
License Number
Tax Identification Number
New Business Name
Doing Business As (D/B/A)
CONTACT INFORMATION
Contact Name:
Telephone Number
Fax Number
Email Address
Section II – Business Location Information
BUSINESS MAILING ADDRESS
Street Address or P.O. Box
City
State
Zip Code (+4 optional)
BUSINESS LOCATION ADDRESS
Street Address
City
State
Zip Code (+4 optional)
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020
4 of 5
Section III – Designated Licensed Community Association Manager
DESIGNATED LICENSED COMMUNITY ASSOCIATION MANAGER
Name
License Number
Social Security Number*
Business Name
License Number
Telephone Number
Email Address
Street Address
City
State
Zip Code (+4 optional)
* The disclosure of your Social Security number is mandatory on all professional and occupational license applications, is solicited
by the authority granted by 42 U.S.C. §§ 653 and 654, and will be used by the Department of Business and Professional Regulation
pursuant to §§ 409.2577, 409.2598, 455.203(9), and 559.79(3), Florida Statutes, for the efficient screening of applicants and
licensees by a Title IV-D child support agency to assure compliance with child support obligations. It is also required by § 559.79(1),
Florida Statutes, for determining eligibility for licensure and mandated by the authority granted by 42 U.S.C. § 405(c)(2)(C)(i), to be
used by the Department of Business and Professional Regulation to identify licensees for tax administration purposes.
Section IV – Licensed Community Association Manager Employees
LICENSED COMMUNITY ASSOCIATION MANAGER EMPLOYEES
Business Name
License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
 Add
 Remove
Name / License Number
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020
5 of 5
Section V – Close Business
BUSINESS INFORMATION
Name of Business
License Number
Section VI – Affirmation by Written Declaration
AFFIRMATION BY WRITTEN DECLARATION
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 of Authorized Firm
Owner/Officer/Director:
Print Name
Date
DBPR CAM 10 Firm Maintenance
2018 June
Incorporated by Rule: 61-35.020