5390 KIETZKE LANE, SUITE 102, RENO, NEVADA, 89511 (775) 688-1141 FAX (775) 688-1271, INVESTIGATIONS (775) 688-1150
2310 CORPORATE CIRCLE, SUITE 200, HENDERSON, NEVADA, 89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110
Nevada State Contractors Board Rev 10/18
Change of Address Page 1 of 1
Change of Address Form
What address is being updated? Business or Individual (provide name below)
What addr
ess needs to be updated (check as that apply):
Physical Address Mailing Address Phone/Fax # Email
For Business Address Updates:
License Number(s):
Company Name(s):
For Individual Address Updates:
Individual’s name:
New Physical Business Address:
(No PO Box for Physical address) Street Number and Street Name
City State Zip Code
New Mailing Address:
Street Number and Street Name
City State Zip Code
New Phone #: New Fax #:
New Email:
(Signature of current Principal listed on license)
Print Name of Signer:
Business addresses will typically be updated within 24 business hours. You may check the Board’s website at or by calling one of the offices of the Board.
click to sign
click to edit