What changes can I request with this form?

You can request a business or individual name change, contact or corporate officer change, address change, duplicate license, or license cancellation.

How do I submit the Business License Change Request Form?

Submit it to the Business License/Finance Department at 4845 Casa Loma Avenue, Yorba Linda, CA 92886. The form lists fees for certain requests.

Do I need a notary for the Business License Change Request Form?

No. The form has no notary block; the owner signs and dates a declaration under penalty of perjury.

Yorba Linda, CA · Orange County

No notary required

Business License Change Request Form

Business license holders use this form to request changes to business or contact information, update corporate officers, request a duplicate, or cancel a license.

What this form is

This form lets a business license holder request a name change, contact or officer change, new business or mailing address, duplicate license, or license cancellation. It asks for the business name and license number, transaction type, relevant updated details, and the owner's signature and date. The form also asks whether a new owner will take over when a license is closed.

Who needs it

A business license holder should complete this form to report one of the listed changes or request a duplicate or license cancellation.

How to submit it

Submit the completed form to the Business License/Finance Department, City of Yorba Linda, 4845 Casa Loma Avenue, Yorba Linda, CA 92886. The form lists a $2 address-change fee and a $3 fee for name changes and/or duplicate licenses.

About notarization

This form has no notary block; the owner signs and dates its declaration under penalty of perjury.

How to submit this form

1
Download The Form
Download the Business License Change Request Form.
2
Complete The Form
Enter the business and license information, select the transaction type, and provide the applicable updated details.
3
Sign And Date
The owner signs and dates the declaration and provides a printed name and title.
4
Submit To The City
Send the completed form to the Business License/Finance Department at the address printed on the form.

Frequently asked questions

What changes can I request with this form?: You can request a business or individual name change, contact or corporate officer change, address change, duplicate license, or license cancellation.
How do I submit the Business License Change Request Form?: Submit it to the Business License/Finance Department at 4845 Casa Loma Avenue, Yorba Linda, CA 92886. The form lists fees for certain requests.
Do I need a notary for the Business License Change Request Form?: No. The form has no notary block; the owner signs and dates a declaration under penalty of perjury.

Need something notarized?

This Business License Change Request Form doesn’t need a notary — but if you have another Yorba Linda form that does, a commissioned online notary can help.