PO Box 30670 Lansing, MI 48909 - michigan: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering your current name as it appears on your license, including any 'doing business as' (d/b/a) names if applicable.
Input your Permanent ID Number, which is essential for processing your request.
Fill in the new name you are requesting, again including any d/b/a names if necessary.
Provide your new address, ensuring to include the city, state, and zip code for accurate updates.
Enter your phone number and email address for communication regarding your request.
Sign and date the form to validate your request.
Select the appropriate fee payment options based on the type of license reprint you require. Remember that if you're only changing your address without a reprint, no fee is needed.

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How do I contact Michigan Licensing and Regulatory Affairs?

For more information about the LARA, please visit .michigan.gov/lara. Questions? Call 517-335-9700.

What does the Michigan Board of Nursing do?

The Michigan Public Health Code defines the practice of nursing in Michigan and empowers the Board to establish qualifications for nurse licensure; to establish standards for education and approve nurse education programs; develop and implement criteria for assurance of continued competency; and take disciplinary

What does the Michigan Department of Licensing and Regulatory Affairs do?

The Department of Licensing and Regulatory Affairs (LARA) is composed of the following agencies, bureaus, and commissions that promote business growth and job creation through streamlined, simple, fair, and efficient regulation, and at the same time protect the health and safety of Michigans citizens.

What online services does the Michigan Department of State offer?

Online Services. Filing for office, including petition signature requirements and political party status. Elections administration, including the Election Inspectors Guide; absentee voting; and the Michigan Qualified Voter File. Find information about the Board of State Canvassers and its meeting notices.