This form shall be used to add a DBA/Name to your individual real estate license. Changes to your legal name must be completed using the Name Change Form. Trade name changes or additions on a company license must also be completed using the Name Change Form.

REQUEST TO ADD DBA/NICK NAME ON LICENSE

Your legal name is required to be on file with the LREC and printed on your license. A DBA/nick name may be added; however, it must always be used in conjunction with your legal last name.

To mail or fax a  DBA/Nick Name update to our office, complete and print this form; otherwise, complete the online form below and click Submit.

By clicking submit below, I hereby authorize the Louisiana Real Estate Commission to make the requested name change. I understand that all advertising, marketing campaigns, and license activities cannot be conducted in any name other than that listed on my license. If the requested name change does not meet the requirements of the license law and rules and regulations of the commission, I understand that this request may be denied until such time that the name change is in compliance.

 
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The Louisiana Real Estate Commission
P.O. Box 14785 ~ Baton Rouge, LA 70898-4785
Phone: (225) 925-1923 or Toll Free (In Louisiana Only) 1-800-821-4529 ~ Fax: 225-925-4501
Contact Email: info@lrec.state.la.us
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