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Change Of Address Form. This is a Nevada form and can be use in State Bar Statewide.
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Tags: Change Of Address Form, Nevada Statewide, State Bar
STATE BAR OF NEVADA CHANGE OF ADDRESS PER SCR 79
Only changes provided on this form will be made.
Removing an address? Print ‘remove’ in appropriate address line.
Rule 79 Every member of the state bar, including active, nonresident active and inactive members, shall maintain a permanent
mailing address and telephone number with the state bar.
Your SCR 79 address is public information.
___________ ___________________________________________________________________
Bar No.
Last Name
First Name
Middle Initial
I AM CHANGING MY SCR 79 (public information) ADDRESS TO: (please choose carefully)
________________________________________________________________________________
Firm Name (if applicable)
_______________________________________________________________________________________
Address
City
State
Zip
_______________________________________________________________________________________
Phone No.
Fax No.
Web Address
_______________________________________________________________________________________
Private Email
Public Email
I AM CHANGING MY ALTERNATE MAILING ADDRESS TO:
_______________________________________________________________________________________
Firm Name (if applicable)
________________________________________________________________________________
Address
City
State
Zip
_______________________________________________________
Phone
Effective Date
□ Yes, I would like to be notified via fax of upcoming CLE events.
□ No, I do not want to receive mass faxes from the State Bar.
Send SBN communications to:
□SCR 79 Address
□ Alternate Mailing Address
_________________________________________________________________
Signature (required)
Please be informed your SCR 79 address may be released to the public. The State Bar allows an alternate
mailing address as long as the SCR 79 address is on file with the State Bar. Your SCR 79 address may be
posted on the State Bar of Nevada’s website. If you submit an address change and do not receive a fee notice
by January 1st of the following year, contact Member Services at (702) 317-1430 or (800) 254-2797.
Please return to:
Or fax to:
State Bar of Nevada, 600 E. Charleston Blvd., Las Vegas, NV 89104-1563
702-382-2075
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