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Landon State Office Building
900 SW Jackson, Suite 1051
Topeka, KS 666121230
Phone 7852964929
Fax 7852963929
www.ksbn.orgKansas State Board of NursingDear Nurse:
Below you will find a change of name
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How to fill out change of name certificate

How to Fill Out Change of Name Certificate:
01
Obtain the form: The first step in filling out a change of name certificate is to obtain the official form. This form can typically be obtained from your local government office or website. You may need to provide proof of identity and pay a fee to obtain the form.
02
Provide personal information: Once you have the form, you will need to provide your personal information. This may include your current legal name, date of birth, address, contact information, and any other required details. Make sure to fill in all the required fields accurately.
03
State the reason for name change: In the form, you will be asked to state the reason for your name change. Common reasons include marriage, divorce, adoption, or simply wanting to change your name. Be clear and concise in explaining your reason.
04
Attach supporting documents: Depending on the jurisdiction, you may need to attach supporting documents along with the form. This can include your marriage certificate, divorce decree, or court order for a name change. Make sure to read the instructions carefully and include all necessary documentation.
05
Sign and date the form: Before submitting the form, make sure to read it thoroughly and sign it in the designated section. Don't forget to date your signature as well. Unsigned or undated forms may not be accepted.
Who Needs Change of Name Certificate?
01
Individuals undergoing a legal name change: Anyone who is legally changing their name, whether it is due to marriage, divorce, adoption, or personal reasons, will require a change of name certificate. This certificate serves as official documentation of the name change.
02
Minors: If a parent or legal guardian is changing the name of a minor, a change of name certificate will be necessary. This ensures that the minor's new name is legally recognized and can be used for official purposes.
03
Individuals seeking to update identification documents: When changing your name, you will need to update your identification documents such as your driver's license, passport, social security card, and bank accounts. These organizations often require a change of name certificate as proof of the name change.
It is important to consult the specific requirements of your jurisdiction as the process and documentation needed may vary.
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What is change of name certificate?
A change of name certificate is a legal document that verifies the change of an individual's name.
Who is required to file change of name certificate?
Any individual who legally changes their name is required to file a change of name certificate.
How to fill out change of name certificate?
To fill out a change of name certificate, you need to provide your old name, new name, reason for name change, date of name change, and any supporting documents.
What is the purpose of change of name certificate?
The purpose of a change of name certificate is to officially document and recognize the change of an individual's name.
What information must be reported on change of name certificate?
The information required on a change of name certificate typically includes old name, new name, reason for name change, date of name change, and any supporting documentation.
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