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Name/Address Change FAQs

How do I notify the Board office of an address and/or name change?

All address changes must be in writing, using the Name and Address Change Form. The request should include your name, license number, and/or social security number, old and new addresses, and any other contact information changes. The address change may be faxed, e-mailed, or mailed to the Board office. Address changes can also be made online by visiting the Online Licensing feature.

Name changes should also be submitted with the Name and Address Change Form along with official documentation indicating the reason for the name change.

How do I obtain a duplicate copy of my license?

Duplicate licenses can be requested through the Online Licensing webpage.

Board of Long-Term Care Administrators
Email: ltc@dhp.virginia.gov
Corie E. Tillman Wolf, J.D., Executive Director
Lisa Kirby, NHA, Chair