You must use the up-to-date form on this page and send it by email
When and how to tell us when a provider changes their name or address.
When you need to tell us about changes to your name or address
You must notify us if:
- you are an registered provider that is an organisation, and
- you change your registered provider name, or change your trading name
Once you have notified us about the change you would like to make, you must apply to change the provider name on your registration. If you change your legal entity you would have to cancel your registration and re-register with us as a new provider
Statement of purpose: If this change affects what is in your statement of purpose you will need to amend that too. Find out how to change your statement of purpose.
How to notify us
Use this form to tell us about changes to your name or address. You only need to fill in sections 1 and 4.
You must provide all the information we ask for. If your form is incomplete we will return it to you.
If you are using assistive technology and have any issues using this form, please contact us to let us know. We will make reasonable adjustments wherever possible.
Email the completed form to HSCA_applications@cqc.org.uk.