Verification Form

  1. HAVE ALL REQUIRED DOCUMENTATION READY for upload.
    1. If the state requiring the license verification has a standard license verification form, complete portion of form for licensee and sign if applicable; then scan for upload submission.
  2. HAVE PAYMENT TOOLS AVAILABLE and ready, such as credit card or bank account information for e-check payments; $15 license verification fee required.
  3. ENTER THE LOUISIANA LICENSE NUMBER below for the verification. PLEASE CHECK NAME OF THE LICENSEE that is provided on the form
    that comes up to verify the correct Louisiana license number was provided.
  4. COMPLETE thelicense verification request form.
  5. PRINT a copy of the completed license verification change form for your records BEFORE submitting the form.
License Number: