Homepage Blank Address Change California PDF Form
Article Guide

When a licensed professional or firm in California changes their address, it is essential to complete the Address Change California form. This form serves as a crucial tool for ensuring that the California Board of Accountancy (CBA) has up-to-date information regarding your location. Each license type requires a separate address change notice, emphasizing the need for accuracy and attention to detail. The form requests key information, including the name of the applicant, license number, and the new address of record. It is important to note that the address of record is considered public information, meaning all correspondence from the CBA will be directed to this address. Additionally, if the new address is a P.O. Box or mail drop, a physical street address must be provided, though the latter will not be displayed on the CBA's website. Failure to notify the CBA within 30 days of an address change could result in fines ranging from $100 to $1,000. To maintain privacy, licensees have the option to opt out of having their name included on the CBA's mailing list. Submitting the form can be done via mail or fax, making the process accessible and straightforward for all licensees.

Document Preview

Address Change Form

A separate address change notice must be submitted for each license type.

PLEASE PRINT

Name of Applicant for Licensure

Last

Name of Licensee

First

Middle

Individual (CPA/PA) - License No.

Last

Name of Firm

 

 

First

Middle

Corporation

Partnership

Fictitious Name

License No.

FIRM NAME

 

Be advised that if you are a licensed

 

 

 

NEW Address of Record (An Address of Record is Required)

CPA/PA or firm, your address of record

is public information, and all CBA

 

Home

Business (check one)

correspondence will be sent to this

 

address.

 

 

 

 

 

 

 

 

Business Name (if different from name above)

Street

Apt. #

Suite # (check one)

City

State

Zip

Former Address of Record

 

 

Street

Apt. # Suite # (check one)

City

Alternate Address for Mail Drops and PO Boxes

State

Zip

If your address of record is a PO Box or Mail Drop, you are required to provide a street address. This address will not be posted on the CBA’s Web License Lookup.

Street

Home

Business (check one)

Apt. #

Suite # (check one)

City

 

State

Zip

 

Daytime Phone Number

-

-

You may confirm your change of

 

 

address on License Lookup at

 

Area Code

 

 

 

www.cba.ca.gov.

I certify the truth and accuracy of all of these statements and representations.

 

 

Signature

 

 

Date

 

Print your name

 

 

 

 

A licensee who fails to notify the California Board of Accountancy within 30 days of a change of address of record may be subject to citation and fine (fines ranging from $100-$1000) under the California Code of Regulations, Title 16, Division 1, Sections 3, 95 and 95.2.

The CBA maintains a list of all licensees. This list is sold to requestors for mailing list purposes. Check here only if you do not want your name included on this list. Please Note:Your name and address of record is public information and can be accessed through our website at www.cba.ca.gov.

This form is being provided for your convenience. Other forms of written notice may be accepted by the CBA.

Mail to:

California Board of Accountancy, 2000 Evergreen Street, Suite 250, Sacramento, CA 95815-3832

OR FAX to: (916) 263-3675

Form Specifications

Fact Name Description
Separate Submission Requirement A separate address change notice must be submitted for each license type held by the applicant.
Public Information The address of record for licensed CPAs/PAs and firms is public information and will be used for all CBA correspondence.
PO Box Requirement If using a PO Box or mail drop as the address of record, a street address must also be provided.
30-Day Notification Rule Licensees must notify the California Board of Accountancy within 30 days of any address change to avoid fines.
Potential Fines Failure to notify the CBA can result in fines ranging from $100 to $1,000 under California regulations.
Access to Information Licensee information, including name and address of record, can be accessed online through the CBA’s website.

Address Change California: Usage Guidelines

After completing the Address Change California form, it is essential to submit it to the California Board of Accountancy (CBA). Ensure that all information is accurate and complete to avoid any delays in processing your request. You can confirm your address change through the CBA's License Lookup service after submission.

  1. Print the form: Obtain a copy of the Address Change California form.
  2. Fill in your name: Write your last name, first name, and middle name in the designated fields.
  3. Select your license type: Indicate whether you are an individual (CPA/PA), corporation, partnership, or using a fictitious name.
  4. Provide your license number: Enter your license number in the appropriate space.
  5. Complete your new address: Fill in your new address of record, including street, apartment number, suite number (if applicable), city, state, and zip code.
  6. List your former address: Write down your former address of record, including all necessary details.
  7. Alternate address: If applicable, provide an alternate address for mail drops or P.O. boxes. Remember, a street address is required.
  8. Daytime phone number: Enter your daytime phone number, including the area code.
  9. Signature and date: Sign and date the form to certify the truth and accuracy of your statements.
  10. Print your name: Write your name below your signature.
  11. Check the box: If you do not want your name included in the CBA mailing list, check the designated box.
  12. Submit the form: Mail or fax the completed form to the California Board of Accountancy at the provided address or fax number.

Your Questions, Answered

What is the Address Change California form?

The Address Change California form is a document that licensed CPAs and firms in California must complete to notify the California Board of Accountancy (CBA) of any changes to their address. Each license type requires a separate form, ensuring that all records are accurately updated.

Who needs to fill out this form?

Any individual or firm that holds a CPA or PA license in California must fill out this form when they change their address. This includes both individual licensees and firms, as they each have distinct address records that need to be maintained.

What information is required on the form?

The form requires several pieces of information, including the name of the applicant, their license number, the new address of record, and the former address. Additionally, if the new address is a PO Box or mail drop, a physical street address must also be provided. A daytime phone number is also requested for contact purposes.

Why is it important to submit this form?

Submitting the Address Change California form is crucial because it ensures that all correspondence from the CBA is sent to the correct address. Failure to notify the CBA within 30 days of an address change can result in fines ranging from $100 to $1,000, as stipulated by California regulations.

Is my address information public?

Yes, your address of record is public information. It can be accessed through the CBA's website. This transparency helps maintain accountability within the profession, but it also means that anyone can view your address if they look it up.

What happens if I do not want my name included on the mailing list?

If you prefer not to have your name included on the CBA's mailing list, there is an option to check a box on the form to indicate this preference. This ensures your information remains private from those requesting mailing lists.

How do I submit the form?

You can submit the completed form by mailing it to the California Board of Accountancy at 2000 Evergreen Street, Suite 250, Sacramento, CA 95815-3832. Alternatively, you may also fax it to (916) 263-3675. Make sure to keep a copy for your records.

Can I confirm my address change?

Yes, after submitting your form, you can confirm your address change by visiting the CBA's License Lookup on their website at www.cba.ca.gov. This tool allows you to verify that your new address has been processed and is correctly listed.

What if I have further questions about the form?

If you have additional questions or need assistance, you can contact the California Board of Accountancy directly. They can provide guidance and clarify any uncertainties regarding the address change process or the form itself.

Common mistakes

  1. Failing to submit a separate address change notice for each license type. Each license type requires its own form.

  2. Not printing the information clearly. Handwriting should be legible to ensure accurate processing.

  3. Omitting the license number. This number is crucial for identifying the correct record.

  4. Using a PO Box or Mail Drop without providing a corresponding street address. A street address is mandatory.

  5. Neglecting to check the box for home business if applicable. This can lead to confusion regarding the nature of the address.

  6. Forgetting to sign and date the form. Both are required to validate the submission.

  7. Not providing a daytime phone number. This information is helpful for any follow-up questions.

  8. Overlooking the notification deadline. Address changes must be reported within 30 days to avoid penalties.

  9. Ignoring the option to opt-out of the public mailing list. If privacy is a concern, this box should be checked.

Documents used along the form

When changing your address in California, especially for licensed professionals, several other forms and documents may be necessary to ensure compliance and proper communication. Below is a list of commonly used documents that accompany the Address Change California form.

  • License Application Form: This is the initial form submitted when applying for a license. It includes personal information and qualifications necessary for the licensing board's review.
  • Renewal Application Form: Required for licensees wishing to renew their licenses. This form often includes a section for updating address information.
  • Change of Ownership Form: If a business changes ownership, this form must be completed to update the licensing records accordingly.
  • Business Registration Form: This document is necessary for businesses to register their name and address with the state, ensuring all records are up to date.
  • Request for Duplicate License: If a licensee loses their license, this form can be used to request a replacement, often requiring updated address information.
  • Complaint Form: This form may be used by individuals wishing to file a complaint against a licensee. It can be relevant if the address change is related to complaints about a business.
  • Public Records Request Form: Individuals can use this form to request access to public records, including information about licensees, which may include address details.
  • Notification of Address Change for Tax Purposes: This document informs the tax authorities of an address change, ensuring that all tax correspondence is sent to the correct location.
  • Affidavit of Address Change: This is a sworn statement verifying the new address, which may be required in certain legal situations.

Using the correct forms and documents ensures that your address change is processed smoothly and that you remain compliant with state regulations. Always check with the California Board of Accountancy for the most current requirements and procedures.

Similar forms

The Address Change California form is similar to several other documents that serve the purpose of updating personal or business information. Below is a list of these documents and how they relate to the Address Change form.

  • DMV Change of Address Form: This form is used to notify the Department of Motor Vehicles about a change in your residential or mailing address. Like the Address Change form, it requires accurate information and is essential for maintaining up-to-date records.
  • IRS Form 8822: This form allows individuals to notify the Internal Revenue Service of a change in address. Similar to the Address Change form, it ensures that tax-related correspondence is sent to the correct location.
  • Voter Registration Change Form: This document is used to update your address on the voter registration list. Both forms require timely submission to avoid penalties and ensure compliance with legal requirements.
  • Social Security Administration Address Change: This process involves notifying the SSA of a new address. Like the Address Change form, it is crucial for receiving benefits and communications without interruption.
  • Bank Address Change Request: Banks often require a formal request to update your address on file. This is similar to the Address Change form as it helps maintain accurate records for account management.
  • Utility Company Address Update: Utility providers typically have their own forms to update your address for billing and service purposes. This process mirrors the Address Change form in ensuring that services are provided at the correct location.
  • Insurance Policy Address Change: Insurance companies require policyholders to submit a request when changing their address. This is akin to the Address Change form, as it ensures that policy documents and communications are sent to the right address.

Dos and Don'ts

When filling out the Address Change California form, it is important to follow certain guidelines to ensure your submission is correct and accepted. Here are some do's and don'ts:

  • Do provide a separate address change notice for each license type.
  • Do print clearly to avoid any misunderstandings regarding your information.
  • Don't forget to include your daytime phone number for any follow-up communications.
  • Don't submit the form without signing and dating it, as this may lead to processing delays.

Misconceptions

  • Misconception 1: Only one address change form is needed for multiple license types.

    In reality, a separate address change notice must be submitted for each license type you hold. This ensures that all records are updated accurately.

  • Misconception 2: My new address will remain private.

    Unfortunately, your address of record is public information. This means that anyone can access it through the California Board of Accountancy's website.

  • Misconception 3: I can use a PO Box as my address of record.

    A PO Box or mail drop cannot serve as your primary address of record. You must provide a physical street address, which will not be listed publicly.

  • Misconception 4: I have unlimited time to notify the Board of my address change.

    You actually have 30 days to notify the California Board of Accountancy after a change of address. Failing to do so may result in fines ranging from $100 to $1,000.

  • Misconception 5: I can submit my address change verbally.

    The address change must be submitted in writing. While other forms of written notice may be accepted, using the official form is the best practice.

  • Misconception 6: My address change will be processed immediately.

    Processing times may vary. It's advisable to confirm your address change through the License Lookup feature on the CBA website after submitting your form.

  • Misconception 7: I can ignore the address change if I don't receive mail from the Board.

    Ignoring the requirement can lead to penalties. Even if you don't receive correspondence, you are still obligated to keep your address up to date.

  • Misconception 8: I can opt out of having my name on the mailing list without any action.

    You must actively check the box on the form if you do not want your name included on the mailing list sold by the CBA.

Key takeaways

When it comes to updating your address with the California Board of Accountancy (CBA), filling out the Address Change form correctly is essential. Here are some key takeaways to keep in mind:

  • One Form per License Type: If you hold multiple licenses, you must submit a separate address change notice for each one.
  • Public Information: Your new address of record will be public information. This means anyone can see it, so choose your address wisely.
  • Required Fields: Ensure all required fields are completed, including your name, license number, and new address. Incomplete forms may delay the process.
  • PO Box Restrictions: If your address of record is a PO Box, you must provide a physical street address as well. The street address won’t be posted online, but it is necessary for processing.
  • Timely Notification: Notify the CBA of your address change within 30 days to avoid potential fines. Fines can range from $100 to $1,000.
  • Confirmation: You can confirm your address change using the License Lookup feature on the CBA website, ensuring that your information has been updated.
  • Alternative Submission: While this form is convenient, the CBA accepts other forms of written notice for address changes if needed.

By keeping these points in mind, you can ensure a smooth transition to your new address and maintain compliance with CBA regulations.