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Duplicate License or Registration Certificate

  • Fee: $10
  • Licensee Information

    Your duplicate license will be mailed to the address on file.
  • The board has my most up-to-date mailing address that has a mail receptacle. I understand that it will be mailed to the address on file.
  • Please enter an email address to receive a copy of this completed form. This is not a copy of your license or registration certificate. The license or registration certificate will be mailed to the address on file.
  • Payment Information

  • $0.00
  • American Express
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    MasterCard
    Visa
    Maestro
    Supported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro
     
  • Upon submission of this form, an email will be sent to the address provided above. The email will contain an attached PDF and a link to a PDF of the form you completed. Please print your form and return with payment.

    Checks/money orders are made payable to NCBOESLPA, and should be mailed to:
    NCBOESLPA
    PO Box 16885
    Greensboro, NC 27416

    The form and check/money order MUST come together. If a check/money order comes in without a form, or vice versa, it will be returned to the sender.