Board of Accountancy

Change of Address

Please provide the Missouri State Board of Accountancy with any change in your home and/or business address. Please use the form below to report address changes, and click submit.

You must complete the form in its entirety or no changes will be made.

Name as it appears on the certificate Last Name: First Name: Middle Initial: License Number: Telephone Number: (Please include area code) Effective Date: Please indicate whether you want information sent to your home or business address. Home Business Old Business Address Name of Business: Street: City: State: Zip Code: Old Home Address Street: City: State: Zip Code: New Business Address Name of Business: Street: City: State: Zip Code: Email: Telephone Number: (Please include area code) New Home Address Street: City: State: Zip Code: Email: Telephone Number: (Please include area code) Please type the numbers displayed above in the box below.