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

Upload legal documentation in support for a name change*

Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 100 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

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*

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