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Get the free Dental Assistant Name Change Request Form - tsbde texas

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Texas State Board of Dental Examiners 333 Guadalupe, Tower 3, Suite 800 Austin, Texas 787013942 Phone: (512) 4636400 Fax: (512) 4637452 www.tsbde.texas.gov NAME CHANGE REQUEST FORM (FOR DENTAL ASSISTANTS)
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How to fill out dental assistant name change

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How to fill out dental assistant name change:

01
Obtain the necessary forms: The first step in filling out a dental assistant name change is to obtain the appropriate forms from your employer or the relevant licensing board. These forms may vary depending on your location and specific circumstances, so make sure you have the correct paperwork.
02
Provide personal information: The forms will typically require you to provide your personal information, including your current name, address, contact information, and social security number. It is important to fill out this section accurately and completely.
03
Indicate the name change: In the appropriate section of the form, clearly indicate that you are requesting a name change. Typically, this will involve providing your current name and the new name you wish to be known by.
04
Provide supporting documentation: In order to change your name, you will usually be required to provide supporting documentation, such as a copy of your marriage certificate if you are changing your name due to marriage. Other acceptable documents may include a court order for name change or a divorce decree.
05
Submit the forms: Once you have completed the necessary sections and attached any required documentation, submit the forms to the appropriate authority. This may be your employer, a licensing board, or another relevant agency. Make sure to follow any specific submission instructions provided.

Who needs dental assistant name change:

01
Dental assistants who have gotten married: If a dental assistant has recently gotten married and wishes to change their name, they would need to go through the name change process. This ensures that their new name is reflected in their professional documentation.
02
Dental assistants who have legally changed their name: In some cases, dental assistants may choose to legally change their name for personal reasons. This could be due to divorce, adoption, or any other circumstance that warrants a name change. These individuals would also need to go through the process of changing their name officially.
03
Dental assistants who have noticed an error in their name: If a dental assistant has noticed an error or misspelling in their name on their dental assistant license or any other professional documentation, they would need to request a name change in order to correct the mistake.
Overall, anyone who wishes to change their name as a dental assistant should go through the appropriate process to ensure that their new name is accurately reflected in their professional records and documentation.
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Dental assistant name change is when a dental assistant legally changes their name and updates their information with the appropriate authorities.
Any dental assistant who legally changes their name is required to file a dental assistant name change.
To fill out a dental assistant name change, the assistant must complete the necessary forms and submit them with the required documentation to the relevant licensing board or regulatory body.
The purpose of dental assistant name change is to update the assistant's information and ensure that they are properly licensed under their new legal name.
The information that must be reported on a dental assistant name change includes the assistant's old name, new name, date of birth, contact information, and any supporting documentation.
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