Free MDOS Form - Michigan

MICHIGAN DEPARTMENT OF STATE Lansing, Michigan 48918-0001

Clear Form

MEMORANDUM
TO: FROM: SUBJECT: Licensed Mechanic Bureau of Regulatory Services Change of Mailing Address

If there has been a change in your mailing address, please complete the following information:
Mechanic Number Name

M
*New Street Address City, State, Zip Code

*Old Street Address

City, State, Zip Code

Your Signature

Please be sure to sign before returning by fax or mail.
*The address must be for your current mailing address.

If you have any questions, contact the Customer Support Section at 1-888-SOS-MICH (888-767-6424). This form may be returned by fax or mail to the address below: Michigan Department of State Bureau of Regulatory Services Business Licensing & Regulation Division Lansing, MI 48918 Fax: 517/335-2810

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