Replacement License Request
A fee of $5.00 is required for issuance of a replacement license. Please submit your payment via credit card using the link below. Once paid please upload a copy of your receipt and check the box below.
Do not use this form to report a name change – please use the Name Change Form. The replacement license will be sent to the address we have on file. To update your address, please complete, scan and upload the fillable Change of Address form below: