Change of contact information form - Virginia Board of Accountancy

I need to update my…*
- Legal name
- Contact information
- Both
Name change or correction
Licensees must contact the VBOA within 30 days of a legal name change.
Former name*
(or your current name if you are only providing a contact information update)
First Middle Last
New name
First Middle Last
Updated address*
Street address Address line 2 City State/Province/Region ZIP code Country
Effective date of change
MM slash DD slash YYYY
Upload legal documentation in support for a name change*
Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 2 MB.
Contact information change or correction
Complete the fields in need of updating.
Updated address
Street address Address line 2 City State/Province/Region ZIP code Country
Email
Phone
Effective date of change
MM slash DD slash YYYY
For CPA firms: If a change to your CPA firm requires an amendment with Virginia’s State Corporation Commission or a change in legal entity or ownership, contact the VBOA by email at boa@boa.virginia.gov or by phone at (804) 367-8505.
Authorization
Name*
Email
Signature*
Please use your mouse, touchscreen or touchpad to sign inside the box.
Date*
MM slash DD slash YYYY

Name change or correction