Name changes cannot be
made online. Changes to your name must be mailed to the Boardalong
with legal documentation (e.g., copy of a marriage certificate).
Submitted changes are not reflected
immediately on the online search function.Updates to the online
search function are usually made at least once per month.
Last 4 digits of Soc Security No.:
Name (first middle last):
Person submitting information if not the NLO listed above:
Please complete entire form, if possible.
Preferred Mailing Address
Telephone Number (include area code):
The information for my Preferred Mailing Address is my:
Alternate Mailing Address
Alternate Telephone Number (include area code):
The information for my Alternate Mailing Address is my:
Work Time %:
Check this box if you are no longer a Non-Licensee Owner of the above-named CPA/PA firm
Review the information you have entered above. To submit your change of information, click the "Submit to ASBPA" button. To clear all
information you have entered, click the "Reset Form" button.