General Inquiry

Select a TDLR program*

Are you requesting a change of information

Yes

If you are requesting a change of contact information please use the online form at
https://www.tdlr.texas.gov/ContactInfoUpdate/LicenseProgram.aspx

If yes, select type of change, if no, leave blank

Name Change**

Add/Correct my Social Security #**

Unable to change Contact Information Online

**NOTE: Attach a government issued ID, court document, marriage license, social security card, etc for changes other than contact information.

First name*

Last name*

Date of birth

Email address*

Phone number*

TDLR license number (if applicable)

Message*

Attachments (BMP, DOC, DOCX, GIF, JPEG, JPG, PDF, PNG, TIFF, XLS, XLSX)

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