Request for Duplicate Renewal Application

To obtain a duplicate renewal application by e-mail or by fax, please provide the information requested below and click submit. A duplicate renewal application will be emailed to you within the next 24 business hours.

Note: If you do not know your license number, click on the Licensee Search icon above and follow the directions. Be sure to enter your name specifically as requested (i.e. Doe, John). Click the Search button. When your license record is found, click on Detail to obtain the license number.

You must fill out all required fields.
Further Information