A490-02NACHG - RE INDIVIDUAL - NAME ADDRESS CHANGE FORM Preview on Page 1

A490-02NACHG - RE INDIVIDUAL - NAME ADDRESS CHANGE FORM 2026

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  1. Click ‘Get Form’ to open the A490-02NACHG form in our editor.
  2. Begin by entering your current legal name as it appears on your license in the designated field. If you have a DBA name, include that as well.
  3. Provide at least one identification number, either your Social Security Number or Virginia DMV Control Number, ensuring it matches previous records.
  4. Fill in your primary and alternate telephone numbers along with your email address. Remember, the email will be used for your online profile with DPOR.
  5. List all license numbers and types you hold from DPOR. Ensure accuracy to avoid missing important notices.
  6. Indicate if you are applying for a legal name change. If yes, provide your new legal name and attach official documentation verifying this change.
  7. If applicable, indicate whether you are changing or adding a DBA name that includes part of your new legal name.
  8. Specify if you are changing your residential address. Provide the new physical address (PO Box not accepted).
  9. If you wish to have correspondence mailed to a different address, list the license number and corresponding mailing address.
  10. Finally, certify that all information is accurate by signing and dating the form before submitting it along with any required licenses.

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A490-02NACHG - NAME/ADDRESS CHANGE FORM

Apr 1, 2026 Complete the information below for each license, certification or registration you hold from DPOR. ➢ Changes to your legal name will affectRead more

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