Employment Change

If you are faxing or writing a request to change information about your employment or business information, please include your name, OTP license #, current address, new business name, new business address, new telephone number, new fax number, your signature, and date of employment change.

If you are emailing a request to change information about your employment or business information, please include your name, OTP license #, current address, new business name, new business address, new telephone number, new fax number, your signature and date of employment change.

Fax number: 651-201-3839

Email address: Kimberly.Ruberg@state.mn.us

Mail to: Minnesota Department of Health
Health Occupations Program
Attn: Kim Ruberg
PO Box 64882
St. Paul, MN 55164-0882

Updated Friday, 14-Oct-2011 13:42:09 CDT