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(01/2016) STATE BOARD OF OSTEOPATHIC MEDICINE REACTIVATION or STATUS CHANGE APPLICATION PHYSICIAN AND SURGEON Last Send to: Full Name STATE BOARD OF OSTEOPATHIC MEDICINE P.O. BOX 2649 HARRISBURG,
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How to fill out for a name change:

01
Obtain the necessary forms: To begin the process of a name change, you will need to obtain the appropriate forms from your local government office or court. These forms can often be found online as well.
02
Fill out personal information: The forms will typically require you to provide your current legal name, contact information, and any other personal details that may be necessary for identification purposes.
03
State the reason for the name change: In the forms, you will likely be asked to provide a reason for wanting to change your name. This could be due to marriage, divorce, adoption, or simply a personal preference.
04
Provide supporting documents: Depending on your jurisdiction, you may need to provide supporting documents to prove the legitimacy of your name change request. This could include a marriage certificate, divorce decree, or court order.
05
Pay any required fees: Some jurisdictions may require you to pay a fee when submitting your name change application. Make sure to check the specific requirements in your area and include the necessary payment along with your forms.

Who needs a name change:

01
Individuals who have gotten married or divorced: One common reason for a name change is when someone gets married or divorced. Many people choose to take their spouse's last name after marriage or go back to their maiden name after a divorce.
02
Parents adopting a child: When parents adopt a child, they may decide to change the child's last name to match their own or reflect the new family unit.
03
Individuals seeking a fresh start: Some people may simply want a fresh start and opt for a name change as a way to symbolize a new beginning in their lives.
04
Transgender individuals: Transgender individuals often choose to change their name to match their gender identity and to affirm their true selves.
05
Individuals with uncomfortable or burdensome names: Some individuals may feel that their current name causes them undue discomfort or burden due to cultural, religious, or personal reasons. In such cases, they may choose to change their name to something that better aligns with their identity or beliefs.
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A name change is the legal process of changing a person's name.
Any individual who wishes to legally change their name is required to file for a name change.
To file for a name change, one must typically complete a petition form, provide supporting documentation, and submit the necessary fees to the appropriate court.
The purpose of a name change is to legally establish a new name that will be used for all official records and documents.
The information required for a name change may include the current name, the desired new name, reason for the name change, and any supporting documentation such as a marriage certificate or court order.
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