Amendments FAQ Page
This page contains information about Amendments that applicants can submit in LicensE. Please review the sections below to determine if you need to submit an amendment.
General Amendments
To Change the Name or Mailing Address in Your LicensE Account:
Log in to your LicensE account at LicensE.wi.gov
Locate and click on the Amendment Tab.
Select the type of change you want to request (name or mailing address).
If you are requesting a name change, gather and upload the required documentation showing proof of the name change.
You must upload one of the following documents.
Driver's License
Marriage Certificate
Divorce Decree
Social Security Card
Court Documents
Submit the amendment request.
Please see the "How do I change my Name or Mailing Address?" section on the Credentialing and LicensE FAQ page for more information.
Please submit a support ticket in LicensE by clicking the "Request Support" button in the top toolbar if you need to submit this amendment.
Profession-Related Amendments
Relevant Credential: Appraisal Management Company
LicensE Account Type: Organization
Wisconsin licensed AMCs should use Form 4216 and this amendment to report and submit their federally mandated AMC Annual Registry Fees.
The AMC Registry Fee must be calculated and paid annually. The Total Amount Due is representative of one completed calendar year, October 1st – September 30th of each year. Only those AMCs whose registry fees have been paid will be eligible to be on the AMC Registry.
Relevant Credential: Cemetery Salesperson
LicensE Account Type: Individual
Credential holders may add or transfer employment in LicensE.
Navigate to the Forms section on the main profession page and complete Form 1021 - Notice of Transfer of Cemetery Salesperson.
Credential holders will be asked to complete Form 3071 - DSPS payment form and upload it directly to the fillable PDF to complete the $10 payment.
Note: License holders are required to work with a corporate officer of a licensed cemetery authority to complete this employer authorization form.
Relevant Credentials: Real Estate Business Entity, Funeral Establishment
LicensE Account Type: Organization
A firm shall delegate the duty to supervise licensees associated with the firm to a supervising broker who is a licensed individual broker. A firm may delegate the duty to more than one supervising broker. This delegate can be different than the business representative.
Change the Managing Person: Submit an amendment through LicensE.
Log in to the business LicensE account.
Select Amendments and Request for Amendment at the top of the page.
Select the Change in Managing Person amendment.
No form or fee is required.
Adding a Managing Person: Submit a support ticket through the business LicensE account. Include the following information:
Business name and license number.
New managing person's name and license number.
Effective date of the change.
Relevant Credential: Pharmacy (In-State)
LicensE Account Type: Organization
License holders should complete Form 2516 and upload it to the amendment. This form contains all the necessary information. Then once reviewed, DSPS staff will update the associated pharmacy license with the change.
The amendment function in LicensE does not currently apply to SUAs. Follow the steps for applying for a new SUA. You will need to upload the application form 2184 (along with other required documents) to your LicensE application. Form 2184 has a section to mark for an amendment.
The request will be reviewed by the Board. Upon approval, you will be issued an amended SUA with the changes shown.
Create or log into your LicensE account
Select Apply for a License
Category: Health
License Type: Controlled Substance Special Use Authorization
Application Method: Initial Licensure
You do not need to input information into the following sections of the online application. Choose save and continue on these pages to move forward:
Drug/Substance
Security, Questions
Protocol Chart
The amendment fee is $5.00. This fee is not built into LicensE. Pause when you get to the payment screen.
Click on My Applications at the top of the screen and note the PAR- number for the amendment.
Click on Request Support and submit a detailed support ticket. Include the PAR-.
Our team will manually submit the amendment and reach out with information on how to submit the fee.
If you experience issues, please log into your LicensE account and click "Request Support". Submit a detailed support ticket and our team will reach out to you.
Relevant Credentials: Pharmacy (In-State), Wholesale Distributor, Pharmacy Out-of-State, Home Medical Oxygen Provider, Drug or Device Manufacturer, Trades, Real Estate Business Entity, Auction Company
LicensE Account Type: Organization
Multi: License holders complete the amendment. You must upload a document to the amendment clarifying the exact spelling of the DBA and confirming that there has not been a change in location or change in ownership. Multi uses this for Pharmacy (In-State), Wholesale Distributor, Pharmacy Out-of-State, Home Medical Oxygen Provider, Drug or Device Manufacturer. DSPS staff will update the associated license to with the change.
Auction Company: For a business to register a trade name with the department, enter this information into the LicensE application, or submit a DBA Name Change amendment in LicensE.
Real Estate Business Entity: A firm can register a trade name with the department at LicensE. To add a "doing business as" (DBA) name, follow the steps below:
Log in to the LicensE business account and select Amendments, then select Request for Amendment at the top of the page.
Select the DBA amendment.
No fee is required.
If applicable, upload proof of registering the trade name with the Wisconsin Department of Financial Institutions (DFI).
Relevant Credentials: Private Detective/Security Agency
LicensE Account Type: Organization
A Private Detective/Security Agency shall submit a Termination Amendment:
Within 10 days after employment has stopped for a Private Detective
Or
Within 5 days after employment has stopped for a Private Security Person
The Amendment will show as "Employment Termination - Form 3076"
No form is required to be submitted with this amendment.
Relationship Selection:
Each relationship requires a separate amendment to be submitted (even if there are duplicates).
Click on the relationship you want to terminate
Sign the amendment and enter the date the employee stopped working for your company
Click submit
Relevant Credential: Private Detective
LicensE Account Type: Individual
A Private Detective may submit to pay the $10 fee, but the organization must also complete a new employment amendment through their account since there is not currently an option to upload Form 3038 identifying employment.
This amendment can only be submitted from an account that has a Private Detective license.
Relevant Credential: Advanced Practice Registered Nurse (APRN)
LicensE Account Type: Individual
To determine your eligibility for Enhanced Practice, first navigate to the APRN Profession Page and review the relevant entries.
Enhanced Practice may mean either Independent Practice or Out of Hospital Setting Delivery Assistance. The options that you may be eligible for are dependent on your license's Recognized Role (specialty).
If you do not yet hold an active APNP or APRN credential, you must first obtain this credential. You may request an Enhanced Practice as part of this application process. Please select Apply for License and follow the application prompts.
If you already hold an active APNP or APRN credential, you may submit an amendment (see below).
Once you have determined that you are eligible for the Enhanced Practice of your choice, you may request an amendment by following the below steps:
Login to your LicensE account
Click on Amendments from the blue menu bar at top of page
Select Request for Amendment
Select Enhanced Practice Eligibility
Follow the steps to complete the request and pay the required nonrefundable fee. Once you have paid the required fee, your amendment request will enter the processing queue to be reviewed.
Relevant Credential: Funeral Director
LicensE Account Type: Individual
This is for Licensed Funeral Directors to change the Funeral Establishment where they are employed.
Relevant Credential: Private Detective Agency
LicensE Account Type: Organization
A Private Detective/Security Agency shall submit a New Employment Amendment within 5 days of any change.
The amendment will show as "New Employment - Form 2323"
No form is required to be submitted with this amendment.
When entering the credential number, please ensure there is a space before and after the dash.
The license and personal information will auto-populate for you to select and cannot be edited.
To help with the auto-population, it’s recommended to type slowly or allow the browser a moment to respond.
If the license number is not selected from the dropdown, the amendment may be denied as it may be submitted without the required license number.
Relevant Credential: Real Estate Salesperson, Real Estate Broker
LicensE Account Type: Individual
Credential holders may add employment in LicensE.
Log in to LicensE and select Amendments, then select Request for Amendment at the top of the page.
Select the Notice of Association (812) amendment.
Credential holders must work with their employer to complete Form 812. A $10 fee is required.
Relevant Credential: Real Estate Business Entity
LicensE Account Type: Organization
Employers may add employment on behalf of an agent at LicensE.
Log in to the LicensE business account and select Amendments, then select Request for Amendment at the top of the page.
Select the Notice of Association (812) amendment.
When a business submits the amendment, Form 812 isn't required. A $10 fee is required.
Relevant Credential: Real Estate Salesperson, Real Estate Broker
LicensE Account Type: Individual
Credential holders may terminate employment at LicensE.
Log in to LicensE and select Amendments, then select Request for Amendment at the top of the page.
Select the Notice of Termination (766) amendment.
No form or fee is required.
Relevant Credential: Real Estate Business Entity
LicensE Account Type: Organization
Employers may add employment on behalf of an agent at LicensE.
Log in to the LicensE business account and select Amendments, then select Request for Amendment at the top of the page.
Select the Notice of Termination (766) amendment.
No form or fee is required.
Relevant Credential: Registered Nurse (RN), Licensed Practical Nurse (LPN)
LicensE Account Type: Individual
For those with active Wisconsin RN or LPN Licenses:
Log into your LicensE account
Select “Amendments” from the top bar
Select “Request for Amendment” from the dropdown list
Select Single State / Multi-State Change
Select your license
Check the box “I would like to make my license a multi-state license”
Confirm your State of Primary Residence as Wisconsin
Upload Form 2687 and a passport style photo (this may be a “selfie”)
Submit and await processing.
If your form is complete, you will receive instructions on how to be fingerprinted. Without these directions, your fingerprint results may be wasted, and you will be required to re-take them and pay the fee to the vendor again.
Once you have followed the directions and been fingerprinted, upload a Support Ticket informing us that it has been completed and your amendment is ready to complete.
Relevant Credential: Social Worker Training Certificate, Advanced Practice Social Worker, Independent Social Worker, Licensed Clinical Social Worker, Professional Counselor Training License, Licensed Professional Counselor, Marriage and Family Therapist Training License, Substance Abuse Counselor in Training, Substance Abuse Counselor, Clinical Substance Abuse Counselor, Clinical Supervisor in Training
LicensE Account Type: Individual
Supervisor approval requests can be submitted through your LicensE account. Please note that applicants cannot submit this amendment on behalf of their supervisor. Approval is per profession and not applicant specific unless otherwise noted.
After logging into your LicensE account:
Click on the Supervisors tab in the blue bar.
Select Request Approval to Supervise.
Enter the required information.
Select at least one profession you would like permission to supervise. Please submit a separate amendment for each profession request.
Click Save and Next.
Upload a narrative statement explaining how you are knowledgeable in the field you are requesting to supervise and a copy of your resume or other evidence showing your qualifications.
Click Save and Next.
Enter your name attesting to the statement and select Submit.
After submitting your complete request, you can view its status by logging into your LicensE account and clicking My Supervision Requests under the Supervisor's tab. If additional information is requested, you can upload documents there, as well.
Amendments are typically reviewed by credentialing staff within 10 days. After the initial review, your information will be sent for a board or legal review. You will be notified when a decision is made.
Relevant Credential: Cemetery Salesperson, Cemetery Preneed Seller
LicensE Account Type: Individual, Organization
Credential holders may terminate employment in LicensE.
Log in to LicensE and select Amendments
Then select Request for Amendment at the top of the page.
Next, select the Notice of Termination (2114) amendment.
Trades-Related Amendments
Relevant Credential: All Trades Organizations
LicensE Account Type: Organization
If you would like to change the name of your business, please submit a support ticket in LicensE by clicking the "Request Support" button in the top toolbar if you need to submit this amendment. Please include the last four digits of your FEIN in the support ticket and provide as much detail as possible.
Relevant Credential: All Trades Organizations
LicensE Account Type: Organization
If you would like to change the business representative of your business, please submit a support ticket in LicensE by clicking the "Request Support" button in the top toolbar if you need to submit this amendment. Please include the last four digits of your FEIN in the support ticket and provide as much detail as possible.
Relevant Credential: All Trades Organizations
LicensE Account Type: Organization
If you would like to change the ownership of your business, please submit a support ticket in LicensE by clicking the "Request Support" button in the top toolbar if you need to submit this amendment. Please include the last four digits of your FEIN in the support ticket and provide as much detail as possible.
Relevant Credential: All Trades Organizations
LicensE Account Type: Organization
If you would like to add a DBA to your business, please submit a support ticket in LicensE by clicking the "Request Support" button in the top toolbar if you need to submit this amendment. Please include the last four digits of your FEIN in the support ticket and provide as much detail as possible.
Relevant Credential: All Trades
LicensE Account Type: Individual, Organization
To Change the Name (Individual):
Log in to your LicensE account at LicensE.wi.gov.
Locate and click on the Amendment Tab.
Select the type of change you want to request (name change).
When requesting a name change, gather and upload the required documentation showing proof of the name change.
Submit the amendment request.
To Change the Name (Organization):
Log into your LicensE account at LicensE.wi.gov.
Locate and click on 'Request Support' in the blue ribbon at the top.
Create a support ticket with as much detail as possible including your FEIN to verify your account.
Manufactured Homes-Related Amendments
Relevant Credential: Manufactured Home Dealer
LicensE Account Type: Organization
If you wish to change a manufactured home dealer's owner, please submit a Support Ticket using the Request Support tab on LicensE. Do NOT submit this amendment.
Relevant Credential: Manufactured Home Community
LicensE Account Type: Organization
If you have questions about the process of expanding your manufactured home community, please submit a Support Ticket using the Request Support tab on LicensE. Do NOT submit this amendment.
Relevant Credential: Manufactured Home Dealer
LicensE Account Type: Organization
If you wish to add or remove an association between a manufactured home salesperson license and manufactured home dealers license, please submit a Support Ticket using the Request Support tab on LicensE. Do NOT submit this amendment.
Relevant Credential: Manufactured Home Dealer
LicensE Account Type: Organization
If you wish to add or remove an association between a manufactured home salesperson license and manufactured home dealers license, please submit a Support Ticket using the Request Support tab on LicensE. Do NOT submit this amendment.