Licensee Forms
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If you need technical assistance with BreEZe, please call our Consumer Information Center at (800) 952-5210 or visit our BreEZe Online Services FAQ page.
Pursuant to Business and Professions Codes section 4902, licensees whose licenses have been expired for more than five years must reapply as a new candidate.
Veterinarian/Registered Veterinary Technician Forms
- Address Change Application
- Duplicate/Replacement License Application
- License Verification/Letter of Good Standing Request
- Name Change Application
Veterinary Assistant Controlled Substances Permit (VACSP) Forms
- VACSP Address Change Application
- VACSP Duplicate/Replacement License Application
- VACSP Add/Change Supervisor(s) and/or Work Location(s) Application
- VACSP Name Change Application
VACSP (Managing Licensee) Supervisor Forms
- Licensee Manager Agreement and Acknowledgement Forms
- VACSP (Managing Licensee) Supervisor Disassociation Application