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Your information will be shared, if applicable, with the following Washington State programs:

  • Business Licensing (Business Licensing Service)
  • Unemployment Insurance Account (Employment Security)
  • Workers Compensation Insurance Account (Labor & Industries)
  • State Tax Account (Dept. of Revenue)

If you have licenses or permits with cities, counties, or other state agencies, you must contact them directly to change your address. Your account will be updated with the Department of Revenue within 5 business days.


UBI/Tax Registration Number   
 * 
Name of Business
  * 
Name of Person completing this form
  * 
E-mail Address of Person completing this form
 * 



New Contact Information (Enter only if applicable.)
Phone Number
()   -  ext.   (Example: (555) 555-5555 ext. 5555)

Fax Number
()   -   (Example: (555) 555-5555)

E-mail Address

(Electronic Filers: This will not update the e-mail address we use to send electronic filing reminders and information. To update that address, visit the E-file e-mail list.)



New Mailing Address (Enter only if applicable.)
Street
City
State
Zip

Date Address Changed 
 /  /  Calendar Pop-Up   (Example: 01/14/2002) 



New Business Location Address (Enter only if applicable.)
You may need to file a new Business License Application to change the physical address of a business.  Please call Business Licensing Service at 1-800-451-7985 to have a customer service specialist review your account and determine if you need to file a new Business License Application.

Street
City
State
Zip
Location Phone Number
()   -  ext.   (Example: (555) 555-5555 ext. 5555)


Previous Business Location Address
Street
City
State
Zip

Date Address Changed 
 /  /  Calendar Pop-Up   (Example: 01/14/2002) 


 
Change in Business Activities (Enter only if applicable)
Please describe in detail.


 


 


The telephone number and e-mail address information will not be given to anyone without taxpayer's permission or specific statutory authority.