Duplicate License Request

In order to receive a duplicate certificate, please send the following information to our office.

Name:
Profession:
License #:

$10.00 fee and check made payable to:

Department of Regulation & Licensing
PO Box 8935
Madison, WI 53708-8935

You can also fax a payment using a credit card to: (608) 251-3036. Be sure to include the credit card number, the type of credit card, signature, daytime phone, authorized amount and credit card expiration date.

*If you are a nurse, you will need to turn in your wallet-sized license card before we will issue you a new copy. If your license is lost/destroyed be sure to inform us when requesting a duplicate.*

We also need to know which card you are replacing:

• Wallet and 3 1/2 x 5 (blue and white, received at renewal)
• Wallet and 8 1/2 x 11 (beige, issued upon initial licensure)
• Decorative 11 x 14 (white, red and blue). This certificate has its own order form .

Please contact us by e-mail should you have questions regarding duplicate license requests.