Form DBPR-DDC-238 "Application for Mailing Address Change Only" - Florida

What Is Form DBPR-DDC-238?

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 January 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-DDC-238 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-DDC-238 "Application for Mailing Address Change Only" - Florida

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State of Florida
Department of Business and Professional Regulation
Division of Drugs, Devices, and Cosmetics
Application for Mailing Address Change Only
If you have any questions, please contact the Division of Drugs, Devices and Cosmetics at 850.717.1800.
Section I – Application Type
TYPE OF APPLICATION
Mailing Address Change Only [ 9006 ]
Note: This form cannot be used to change the physical location address of the establishment.
Please use the Change
of Physical Location form to change the physical address of the establishment.
Section II – Applicant Information
APPLICANT INFORMATION
List Permit/Registration Number(s):
PERMITTED NAMES
Applicant’s Currently Permitted Full Legal Name:
Applicant’s Currently Permitted Fictitious, Trade or Business Name:
APPLICANT’S NEW MAILING ADDRESS
Street Address or P.O. Box:
City:
State:
Zip Code (+4 optional):
APPLICATION CONTACT
Whom should the department contact with questions regarding this application?
Last/Surname:
First:
Middle:
Suffix
Address:
City:
State:
Zip Code (+4 optional):
Telephone Number:
Fax Number:
Email Address:
Signature of Owner or Officer:
Date:
Print Name:
Title:
Mail completed application to:
Department of Business and Professional Regulation
2601 Blair Stone Road; Tallahassee, FL 32399-1047
DBPR-DDC-238 - Application for Mailing Address Change
Effective Date: January 2018
Incorporated by Rule 61N-2.029
Page 1 of 1
State of Florida
Department of Business and Professional Regulation
Division of Drugs, Devices, and Cosmetics
Application for Mailing Address Change Only
If you have any questions, please contact the Division of Drugs, Devices and Cosmetics at 850.717.1800.
Section I – Application Type
TYPE OF APPLICATION
Mailing Address Change Only [ 9006 ]
Note: This form cannot be used to change the physical location address of the establishment.
Please use the Change
of Physical Location form to change the physical address of the establishment.
Section II – Applicant Information
APPLICANT INFORMATION
List Permit/Registration Number(s):
PERMITTED NAMES
Applicant’s Currently Permitted Full Legal Name:
Applicant’s Currently Permitted Fictitious, Trade or Business Name:
APPLICANT’S NEW MAILING ADDRESS
Street Address or P.O. Box:
City:
State:
Zip Code (+4 optional):
APPLICATION CONTACT
Whom should the department contact with questions regarding this application?
Last/Surname:
First:
Middle:
Suffix
Address:
City:
State:
Zip Code (+4 optional):
Telephone Number:
Fax Number:
Email Address:
Signature of Owner or Officer:
Date:
Print Name:
Title:
Mail completed application to:
Department of Business and Professional Regulation
2601 Blair Stone Road; Tallahassee, FL 32399-1047
DBPR-DDC-238 - Application for Mailing Address Change
Effective Date: January 2018
Incorporated by Rule 61N-2.029
Page 1 of 1