Request for Business Amendment duplicate Certificate 2026

1. Click ‘Get Form’ to open the Request for Business Amendment duplicate Certificate in the editor.
2. Begin by filling out items 1, 2, and 3. Item 1 requires you to specify the requested change, including your present facility number and name.
3. In item 3, check all applicable business types requesting an amendment or duplicate certificate, such as Repair Shop or Dealer.
4. If applicable, complete items 4 through 8 for any changes in business name or address. Ensure you provide both new and old addresses where necessary.
5. For inspection stations or dealers, fill out section 6 regarding changes in business type and groups approved for inspection.
6. Complete item 9 regarding any financial interests in government-regulated businesses and item 10 about any convictions.
7. Finally, sign the Certification section at the bottom of page 2 to confirm that all information is accurate before submitting your request.

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