The State Bar of California

Office of Admissions – FLC Program

845 S. Figueroa Street, Los Angeles, CA 90017-2515
(213) 765-1500

Registered Foreign Legal Consultant Program

Address Change Form

Registration Number (if applicable):

*Registrant Name:

*Public Firm Name (if applicable):

*Public Address:

City: State: Zip:

*Public Daytime Phone: *Public Fax:

*Public e-mail:

*Public information is posted on the State Bar website.

Address change requests must be accompanied by a photocopy of one piece of identification. Accepted
examples: driver’s license, passport, California ID card, military ID card.

Identity document attached:

Print Name:

Signature: Effective Date:

* As a registered Foreign Legal Consultant (FLC), your address of record is public information subject to
disclosure upon request and also posted on the State Bar’s website. Personal information can be changed
through the Admissions Status Page at http://admissions.calbar.ca.gov. Personal information will not appear
on the FLC list.

You must notify the State Bar of California within 30 days if there are any changes to your address during
the period of time you are a Registered Foreign Legal Consultant.

Mail or Fax To: (213) 765-1544

The State Bar of California FOR OFFICIAL USE ONLY

Office of Admissions
FLC Program DL:
845 S. Figueroa Street Passport:
Los Angeles, CA 90017-2515
ID card:
Other:

FLC Address Change Form 0615_R