If you move after you submitted your application, you must submit an Applicant
Address Change Request Form.
This form may be faxed or mailed to the Board.
If you change your name after you have submitted an application or are licensed, you must submit a signed
Notification of Name Change form
, along with photocopy or electronic copy of a current government-issued photographic identification (e.g., driver’s license, alien registration, passport, etc.) and one of the following legal documents as proof of the name change:
- Marriage Certificate
- Dissolution of marriage (divorce)
- Certified Court Order
The Notification of Name Change form and supporting documents must be mailed to the Board.
