Update Your License Record
    
Legal Name Change
If your legal name has changed, you must verify the change by submitting a copy of a marriage certificate, divorce decree, court order, driver's license, or social security card to the division. If you desire a reprint of your license reflecting the name change, you must also submit a $10 reprint fee with the request.
 
Email: doplweb@utah.gov
Fax: 801-530-6511
Mail: PO Box 146741, Salt Lake City, UT 84114-6741
  
Change of Address
*= Required Field
   
License Number:

OLD MAILING ADDRESS NEW MAILING ADDRESS
Address Line 1: * Address Line 1:
Address Line 2: Address Line 2:
City: * City:
State: * State:
Zip or Postal Code : * Zip or Postal Code:
Example: 84000-1023
Country: * Country:
Telephone: - - * Telephone: - -
Example: (801) 555-5555
E-mail Address * E-mail Address:

* If RN/LPN, You must declare your primary state of residence for the Nurse Licensure Interstate Compact. Your primary state of residence is the state of your declared fixed permanent and principal home. For legal purposes, it is your domicile.



Any question or comments? Contact DOPL