If your company has changed their Legal Business Name and/or taxpayer information please complete the attached form along with one of the following supporting documents:
|Change Type/ Reason for Change||Required Supporting Documentation (One of the following):|
|Entity/Business Structure Change||
|Legal Business Name Change||
|Legal Contact/ Signer Change||
|Federal Taxpayer ID/IRS Name Change||
Please fax the completed form and supporting documentation to (866)463-7804 or email to firstname.lastname@example.org
Any questions please contact our office at (626)248-8837.