Use this application only to change the title of a current officer or member of the personnel already on record for an existing corporate license (officer only) or for an existing limited liability company (LLC) license (officer, manager, or member).
Use one application for each officer or personnel title change. Each additional officer or personnel must use a separate application.
If you have additional licenses with the same corporate or LLC registration number (as issued by the California Secretary of State and listed in box 3 in Section 1), you must submit a copy of this application for each license. All licenses using the same corporate or LLC registration number must show the same officers, managers, and/or members as their personnel of record.
To add new personnel to an existing corporate or limited liability company license, use form 13A-7 - Application to Add New Personnel to Existing Corporate or Limited Liability Company License.
To disassociate personnel from an existing license, including a responsible managing officer (RMO), responsible managing manager, responsible managing member, or responsible managing employee (RME), use form 13M-5 - Disassociation Request.
To replace a current qualifying individual (RMO, responsible managing manager, responsible managing member, or RME) on an existing license, use form 13A-2a - Application for Replacing the Qualifying Individual.
Please provide the full legal business name as it appears on the CSLB license. P.O. Boxes and private mail boxes (PMB) are not acceptable for the street address. Also include the license number as issued by CSLB and the registration number as issued by the California Secretary of State.
* Required Entry