State of Alaska 
                       Division of Corporations, Business and Professional Licensing 
                       CORPORATIONS SECTION 
                       PO Box 110806 
                       Juneau, AK  99811-0806 
                       Phone: (907) 465-2550 
                       Fax: (907) 465-2974 
                       Website: www.commerce.alaska.gov/occ 

                              CERTIFICATE OF CORRECTION 
                                       All Entity Types 
                                           AS 10.06.920 
Filing Fee: $25.00 (non-refundable)  

INSTRUCTIONS (Please retain for your records): 
NOTICE: The Certificate of Correction will not be filed if a biennial report is due or the signatures do not match 
what the Corporations Section has on record. Please verify the following before completing the application. 
o     Have all current biennial reports be filed?
o     Are all officials up to date on our records?

To verify this information please search for the entity by going to Search Corporations Database in the 
Corporations Section of our website at www.commerce.alaska.gov/occ. If there is a biennial report due, the 
report may be filed online by selecting Biennial Reports on the Corporations Section page. If the officials have 
changed, but no biennial report is due, please submit a Notice of Change located under Forms & Fees. 

Refer to Alaska Statutes 10.06.920. An entity may submit a Certificate of Correction to correct a document 
that has been filed for record. The filing of the certificate by the commissioner does not alter the effective 
time of the writing being corrected and does not affect any right or liability accrued or incurred before 
the filing. An entity name may not be changed or corrected with this form.  

ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. 

ITEM 2: Indicate the title of the document that needs to be corrected, and the date the document was filed for 
record with this Division. This information may be obtained by searching our corporations’ database (see 
instructions above). 

ITEM 3: State the correction. 

IITEM 4: The Certificate of Correction must be signed by the same in the same manner as the original 
document. If changes have been made since the original document was filed, the current officers must sign. 

NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  

Mail the Certificate of Correction and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 

STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.   

08-422 (Rev. 05/21/19)        Certificate of Correction Instructions 

            State of Alaska 
                                                                                     DO NOT STAMP ABOVE THIS BOX 
            Division of Corporations, Business and Professional Licensing 
                                                                                     Office Use Only       CORP 
            CORPORATIONS SECTION 
            PO Box 110806 
            Juneau, AK  99811-0806 
            Phone: (907) 465-2550 
            Fax: (907) 465-2974 
            Website: www.commerce.alaska.gov/occ 

                              CERTIFICATE OF CORRECTION 
                                         All Entity Types 
                                         AS 10.06.920 

  $25.00 Filing Fee (non-refundable) 

Pursuant to Alaska Statutes 10.06.920, an entity may create a Certificate of Correction to correct a document 
that has been filed for record. The filing of the certificate by the commissioner does not alter the effective time 
of the writing being corrected and does not affect any right or liability accrued or incurred before the filing. A 
corporate name may not be changed or corrected with this form.  

ITEM 1 :Name of the Entity:                                      Alaska Entity #: 

ITEM 2: Provide the following information for the document being corrected:  

Title of the original document filed for record:  

Date the original document filed for record (mm/dd/yyyy format): 

ITEM 3: State the correction: 

Per Alaska statutes a corporate name may not be changed or corrected with this form. 
To change or correct a corporate name, file an amendment. 

Attach an additional sheet if necessary. 

08-422 (Rev. 05/21/19)                   Page  1of 2 

ITEM 4: The Certificate of Correction must be signed in the same manner as the original document. Attach an 
additional sheet if necessary. 

Signature                      Printed Name               Title                                           Date  

Signature                      Printed Name               Title                                           Date  

NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  

Mail the Certificate of Correction and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 

STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received. 

08-422 (Rev.05/21/19)          Page  2of                2 

              State of Alaska 
                                                                               DO NOT STAMP ABOVE THIS BOX 
              Division of Corporations, Business and Professional Licensing 
                                                                               Office Use Only       CORP 
              CORPORATIONS SECTION 
              PO Box 110806 
              Juneau, AK  99811-0806 
              Phone: (907) 465-2550 
              Fax: (907) 465-2974 
              Website: www.commerce.alaska.gov/occ 

                      CONTACT INFORMATION SHEET  

Please return this document with your filing. This information will only be used to resolve questions with the filings 
attached. NOTE: this form will not be filed for record or appear online. 

Name of entity as it appears on filing: 

To resolve questions with this filing, contact: 
Name: 

Email:                                                                   Phone:

Mailing address: 

Return documents to: 
Name: 

Company: 

Mailing address: 

Attach this form to your filings. Send all documents to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 

STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.  

08-561 (Rev.05/21/19)                           Page  1of 1

              THE  TATE S                                                                                                  FOR DIVISION USE ONLY 
                of 
                  ALASKA 
              Department of Commerce, Community, and Economic Development 
              Division of Corporations, Business and Professional Licensing 

        State of Alaska 
        Department of Commerce, Community, and Economic Development 
        Division of Corporations, Business and Professional Licensing 
        PO Box 110806, Juneau, AK 99811 
        Phone: (907) 465-2550 

Credit Card Payment Form 

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                      ________________________________ 

 I wish to make payment by credit card for the following(check all that apply):                                                                    AMOUNT    

        Application Fee:  _________________________________________________________________________________________________                __________________________ 

        License or Renewal Fee:     _________________________________________________________________________________                      __________________________ 

        Other (name change, wall certificate, fine, duplicate license, exam, etc.):        

           1. _____________________________________________________________________________________________________________________ __________________________ 

           2. _____________________________________________________________________________________________________________________        __________________________

                                                                                               TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:              _____________________________________________________________________________________________________________________ 

 08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 

   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 

   1.    Account Number:                                                                                      All four fields MUST 
                                                                                                                                    be completed! 
   2.    Expiration Date:
                                                                                                              This section will be 
   3.    Billing ZIP Code:
                                                                                                              destroyed after the 
   4.    Security Code:                                                                                       payment is processed.