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Notification of address change for certificate, permit, and brokerage - puc state pa 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your company name in the designated field. Ensure that this matches the name on your current certificate or permit.
- Next, fill in your trade name if applicable. This is important for identification purposes.
- In the 'Old Address' section, provide your previous mailing address. This helps the commission update their records accurately.
- Now, move to the 'New Mailing Address' section and enter your new address clearly. Double-check for any typos to avoid delays.
- Include a contact telephone number where you can be reached for any follow-up questions regarding this change.
- Sign in the 'Authorized Signature' field and print your name below it to validate the form.
- Finally, date the form before submitting it as instructed at the bottom of the document.
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Related links
If the Commission approves the application, a new certificate or permit will be issued under a new docket number, upon receipt of insurance and tariff filingsRead more
NOTIFICATION OF ADDRESS CHANGE FOR CERTIFICATE; PERMIT AND BROKERAGE LICENSE HOLDERS. BOX 3265 HARRISBURG, PA 17105-3265