THE STATE                                                                                              BUS 
                of                                                                                       FOR DIVISION USE ONLY 
                  ALASKA                                                                                  
                Department of Commerce, Community, and Economic Development 
                Division of Corporations, Business and Professional Licensing 
 
        Department of Commerce, Community, and Economic Development 
        Division  of Corporations, Business and Professional Licensing 
        Business Licensing Section 
        333 Willoughby Avenue, 9 thFloor, Juneau, AK  99801 
                  
        PO Box 110806, Juneau, AK  99811-0806 
        Phone: (907)  465-2550     • Fax: (907) 465-2974 
        Email: BusinessLicense@Alaska.Gov 
        Website: BusinessLicense.Alaska.Gov 
 
 Business License: Certificate Copy Request 
 
                                                                                               AS 43.70 and 12 AAC 
   FREE:  Additional copies of business license certificates are available free on the web. 
            1.  Go to: www.BusinessLicense.Alaska.Gov 
            2.  Select “Search Business Licenses” 
            3.  Enter your name or business license number and click “Search” 
            4.  Click “Print Business License” on the license detail page 
                
  MAILED:   To request this office to mail you a copy(s) of a business license certificate, submit this form by fax or 
        mail    with the appropriate nonrefundable fee of $5 per copy. 
                 DO NOT email this form or payment 
                 Standard processing time is 10-15 business days 
   
  Online Filing is not available for this form; submit this form by fax or email only. DO NOT email this form or payment.  
    
   1.  Business Name (must match name on business license certificate): 
                                                                                                           
   2.  Business License Number  (mandatory): 
                                                                                                           
   3.  Fee: $5 Nonrefundable Per Copy 

       Number of copies:                                          X $5 nonrefundable fee = Total:     $     (BUS1) 
                                                                                                           
   4.  Mailing Address (where do you want the certificate copy mailed): 
                                                                                                           
   5.  Name of person requesting copy(s) of the business license certificate: 
    Signature of Applicant:                                                                                
                                                                                                           
  Printed Name of Applicant:                                                             Date:             
                                                                                                           
                      Email:                                                             Phone Number:     
                                                                                                           
  08-4080              Rev. 9/14/17            BL Certificate Copies 

               THE STATE                                                                                        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 
   333 Willoughby Avenue, 9th Floor, Juneau, AK 99801 
   PO Box 110806, Juneau, AK 99811 
   Phone: (907) 465-2550    • Fax: (907) 465-2974 

CREDIT CARD PAYMENT 

For  security  purposes  please       do  not  email  credit  card  information.  Fax  or  mail  this  credit  card 
payment  form  to  the  Division.  Completion  of  this  form  is  not  proof  of  payment  until  the  Division 
processes the information. If any information on this form is illegible, the form will be rejected. 

Name of Applicant or Licensee:  ________________________________________________________________________________________________________________________ 

Type of License:  _____________________________________________________ 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:  ______________________________________________          Email (optional):       ___________________________________________________________________________________ 

Credit Card Type:                     VISA              — or —                          Mastercard 

            Signature of Credit Card Holder:                          ___________________________________________________________________________________________________

VISA or Mastercard Number: __________________________________________________________       Expiration Date:        ______________________________ 

            This section below the dotted line will be destroyed upon processing of the payment. 

 08-4438           Rev. 12/22/16                                         Credit Card Payment Form