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Asbestos Licensing unit: Change of Status
INSTRUCTIONS FOR COMPLETING
CHANGE OF STATUS APPLICATION
DBPR ALU 4052
Application begins on page 4
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
Applicants are cautioned to read questions thoroughly. Be certain that all questions are answered
truthfully, and that all the information requested is furnished. Please type or print in ink. A false answer
concerning financial or background information will subject applicant to denial or subsequent license
disciplinary action. In conformance with s. 120.60(1), F. S., the Department shall examine the application
and notify the applicant of any apparent errors or omissions within 30 days of receipt.
If you wish to engage in asbestos consulting or asbestos contracting as a partnership, corporation,
business trust or other legal entity, or in any name other than the applicant’s legal name, you must apply
for licensure through a qualifying agent or the individual applicant must apply for licensure under a
fictitious name. If you are using a fictitious name, you must furnish evidence of statutory compliance of
Florida Statute 865.09, by showing registration with the Secretary of State (e.g., Certificate of Status).
For purposes of Chapter 61E, Florida Administrative Code, practice as an individual is considered
practice as a business organization. Once you qualify a business organization, any request to qualify
another business organization must be approved by the department. The application for the new
business organization shall supply the same information to the department as is required of initial
For purposes of compliance with Florida Statute 469.006 (5) (b), all advertising related to asbestos
consulting or contracting must bear each of the qualifying consultant’s or contractor’s individual license