You must fill out all required fields.

Change of Address

Please provide the Missouri State Board of Cosmetology and Barber Examiners with any change in your home and/or mailing 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 license
Last Name:
First Name:
Middle Initial:
License Number:
Email:
Telephone Number:
(Please include area code)

Old Home Address
Street:
City:
State:
Zip Code:

Old Mailing Address
Street:
City:
State:
Zip Code:

New Home Address
Street:
City:
State:
Zip Code:

New Mailing Address
Street:
City:
State:
Zip Code: