FORMS & APPLICATIONS

Most Requested Forms| Forms Instructions | Board-Specific Forms & Applications

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Most Requested Forms

EMAIL ADDRESS Change Form

Email Address Change Form

MAILING ADDRESS Change Forms

  • Many Boards allow you to update your ADDRESS using Online Services, so log in to your personal profile to see if this is an option for your license type. The alternative is to complete, print, sign, and submit an Address Change Form by mail.
  • Unless updated online, all Address Change Forms must be received by the Board in writing. When providing a post office box as the mailing address, it must be accompanied by the physical address.

All License Types EXCEPT Real Estate Form
Real Estate Individuals Form
Real Estate Firms Form

NAME Change Forms

All License Types EXCEPT Real Estate Form
Real Estate Individuals Form
Real Estate Firms Form

Criminal Conviction Reporting Form 

  • for applicants and existing DPOR license holders to report a felony/misdemeanor conviction from any jurisdiction
  • to request an Informal Fact-Finding (IFF) Conference, use the Criminal Conviction-Supplemental Form

Criminal Conviction Reporting Form 

Disciplinary Action Reporting Form 

  • for applicants and existing DPOR license holders to report disciplinary action by a regulatory board in any jurisdiction

Disciplinary Action Reporting Form

Adverse Financial History Reporting Form 

  • for applicants (only) to report outstanding debts, judgments, liens, or tax obligations; past-due/unpaid bills, claims, or suits; defaults on bonds; or pending/past bankruptcies

Adverse Financial History Reporting Form

Certification Request Form 

  • documentation of your Virginia license/certificate status
  • MyVirginia, powered by PayIt, is a third-party provider that offers a quick and easy way to request certification of an individual or business license. The fee for licensure certification requests through MyVirginia is $40 for up to two copies. Visit myvirginia.dpor.virginia.gov to submit a request online in just a few minutes.

Certification Request Form Online or PDF

Transcript Request Form

  • a court admissible document either incorporating the license history or stating that no license was found based on the information provided

Transcript Request Form

Credit Card Payment Form 

Credit Card Payment Form Online or PDF

Complaint Forms 

DPOR Regulatory Complaint Form
Fair Housing Discrimination Complaint Form

Forms Instructions

DPOR Boards only accept the most recent versions of the documents provided. DPOR Boards are not responsible for processing delays associated with forms that do not conform to this requirement.

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Troubleshooting Resources

Board-Specific Forms & Applications

Visit the appropriate Board page for forms and applications specific to each license type:

Please choose from the following: