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ALL HEARING AID DEALERS MUST RENEW BY JUNE 30, 2014
Expired Hearing Aid Dealer Renew Form
Hearing Aid Dealer certificates of registration expire on June 30 of even-numbered years. Renewals are mailed sixty (60) days prior to the expiration date of the certificate of registration. If you do not receive your renewal notice at that time, please call our office to verify your correct mailing address and request a renewal application.
Address Change - You are required to notify the Committee of any address changes. Your written notification must include your name, certificate of registration number, profession, social security number, date of birth, and both your old and new addresses.
Name Change - You may have the name changed on your certificate of registration records by submitting a copy of an official name change document such as a marriage certificate or a divorce decree. A copy of a social security card will be accepted. Please send the information to the Committee as soon as your name is legally changed. Your letter should include your name as it is listed now, your new name, your certificate of registration number, profession, social security number, and date of birth . If you want us to send you a new pocketcard, please indicate in the letter that a new card is needed.
Duplicate Pocket Card - In order to receive a duplicate pocket card you will need to go to our Homepage and Click on License Express.