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.
   
By Mail:
DOPL
P.O. Box 146741
Salt Lake City, UT
84114-6741

In Person:
160 East 300 South
Main Lobby, south side
Salt Lake City, Utah

Note: In person, you must pay the $10 reprint fee by cash or credit card (MasterCard, Visa or American Express) and must show a photo ID.
  
Change of Address
*= Required Field
   
* Name or Business Name:
Date of Birth: / / (mm/dd/yyyy)
Last 4 digits of your Social Security Number:
* License Number: - Enter your full License Number.

OLD MAILING ADDRESS NEW MAILING ADDRESS
Address Line 1: * Address Line 1:
Address Line 2: Address Line 2:
* City: * City:
* State: * State:
 or Province:  or Province:
* Zip or Postal Code :
Example: 84000-1023

* Zip or Postal Code:
Example: 84000-1023
Country: * Country:
Telephone: () -
Example: (801) 555-5555
* 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