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Get the free Notification of Name Change and Application for Replacement License - acupuncture ca

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This document serves as a notification for a name change by a licensed acupuncturist in California and includes an application for a replacement license reflecting that name change.
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How to fill out notification of name change

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How to fill out Notification of Name Change and Application for Replacement License

01
Obtain the Notification of Name Change form from your local licensing authority's website or office.
02
Fill in the required personal information, including your current name and the new name you wish to adopt.
03
Provide any required documentation supporting your name change, such as a marriage certificate or court order.
04
Complete the Application for Replacement License by providing your personal details and selecting the reason for replacement.
05
Submit the Notification of Name Change and Application for Replacement License forms to the licensing authority, along with any necessary fees and documentation.
06
Wait for confirmation from the licensing authority regarding the processing of your name change and the issuance of your replacement license.

Who needs Notification of Name Change and Application for Replacement License?

01
Individuals who have legally changed their name through marriage, divorce, or court order and need to update their identification and licensing documents.
02
Professionals whose name appears on licenses or certifications that need to reflect their current legal name.
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It is a formal process through which individuals notify the relevant licensing authority of a change in their name and apply for a new license that reflects this change.
Individuals who have legally changed their name and wish to update their official licenses or permits are required to file this notification and application.
To fill out the form, individuals should provide their current name, the new name, the reason for the name change, and any other required personal information, along with any supporting documentation.
The purpose is to ensure that all official records are up to date and accurately reflect an individual's legal name, which is important for identification and legal purposes.
The information that must be reported includes the individual's current name, the new name, the legal basis for the name change, date of the name change, and any relevant identification numbers associated with the original license.
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