Forms for Board Requests

Board Requests

The following are forms for requests the Board office receives.

Change of Address/Name

Complete the following form if there is a change in your address and/or name that is on file with the Board. The $25.00 fee applies only to name changes, for which you will receive an updated copy of your license.

NBOPE Change of Address - Name Form-FILL.pdf

Request for License Verification

Complete and submit the following form with the $20 fee to request a verification of your license.

NBOPE License Verification Request form-FILL.pdf