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What is name and address change

The Name and Address Change Form is a personal legal document used by applicants to update their information with the ASCP Board of Registry.

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Who needs name and address change?

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Name and address change is needed by:
  • Individuals changing their name or address due to marriage or divorce
  • Healthcare professionals seeking ASCP certification updates
  • Students or graduates completing certification processes
  • Applicants needing official recognition of a name change
  • Clients updating personal information for legal documents

Comprehensive Guide to name and address change

Understanding the Name and Address Change Form

The Name and Address Change Form is an essential tool for individuals needing to update their personal information with the ASCP Board of Registry. This form serves the critical purpose of ensuring that your records reflect your current legal name and address.
Updating your information is vital for maintaining eligibility for ASCP certifications and ensuring seamless communication regarding your certification status. Users must recognize that proper submission of the name change form or address change form is not merely procedural; it's fundamental to maintaining professional standards.

Purpose and Benefits of the Name and Address Change Form

Completing the Name and Address Change Form allows individuals to keep their records accurate and current. This is particularly important for those holding or applying for ASCP certifications, as outdated information may compromise their standing.
Additionally, this process enhances communication with the ASCP Board of Registry, ensuring that recipients receive timely updates and notifications. Keeping personal information updated simplifies the management of legal documents and personal records.

Who Should Consider Submitting the Name and Address Change Form

Applicants and professionals who have undergone a legal name change or have relocated should consider using the Name and Address Change Form. Situations prompting the need for this form include marriage, divorce, or other legal amendments to one's name, as well as moving to a new address.
It's crucial for individuals in these situations to recognize that failure to update personal legal documents can result in complications concerning eligibility and certification status.

Eligibility Criteria and Requirements for the Name and Address Change Form

To be eligible to submit the Name and Address Change Form, applicants must provide specific information. This includes their ASCP number or Social Security number, as well as details of their previous and current names and addresses.
  • ASCP number or Social Security number
  • Previous name and current name
  • Previous address and current address
  • Proof of name change (e.g., birth certificate or legal court documents)
These requirements ensure that the ASCP Board of Registry can verify changes accurately and maintain secure and up-to-date records.

How to Fill Out the Name and Address Change Form Online: A Step-by-Step Guide

Filling out the Name and Address Change Form online is straightforward. Follow these steps to ensure accuracy:
  • Access the form on the pdfFiller platform.
  • Enter your ASCP number or Social Security number in the designated field.
  • Provide your previous and current names.
  • Fill in your previous and current addresses.
  • Include a daytime telephone number for contact.
  • Attach proof of name change documents, if required.
  • Review the completed form for accuracy before submission.
By following these field-by-field instructions, you can ensure a comprehensive and correct form submission.

Common Mistakes to Avoid When Submitting the Name and Address Change Form

Applicants often make frequent errors that can delay the processing of their forms. Common mistakes include missing required fields or submitting inadequate proof of a name change. To avoid these issues, adhere to these best practices:
  • Ensure all required fields are filled out completely.
  • Double-check your information for accuracy.
  • Verify that any supporting documents meet specified guidelines.
  • Use a checklist to confirm submission requirements are met.
By being meticulous and proactive, you can enhance the chances of a successful submission.

Submission Methods and Processing Information for the Name and Address Change Form

Once the Name and Address Change Form is completed, there are clear submission methods available. Applicants should fax their forms to the ASCP Board of Registry for processing. It's essential to keep a record of the submission for future reference.
Typically, processing times vary, but applicants can generally expect a response within a few weeks. After submitting, individuals should remain alert for any communication from the ASCP concerning their application status.

Security and Compliance When Submitting the Name and Address Change Form

When handling sensitive personal documents, security is paramount. The ASCP Board of Registry employs stringent compliance measures to protect data integrity and privacy throughout the submission process.
pdfFiller also ensures high levels of security through 256-bit encryption, adhering to HIPAA and GDPR compliance standards, ensuring that your personal information remains confidential and secure throughout the process.

Utilizing pdfFiller for Your Name and Address Change Form

pdfFiller can significantly streamline the process of completing the Name and Address Change Form. Its features allow users to edit documents, eSign, and manage submissions from any browser seamlessly.
  • PDF editing capabilities for customization
  • eSigning options for quick approval
  • Secure document sharing with encryption
These features make pdfFiller an effective solution for managing personal legal documents efficiently and securely.

Next Steps After Submitting Your Name and Address Change Form

After submitting the Name and Address Change Form, users should monitor the status of their application. It is advisable to keep an eye out for any correspondence from the ASCP Board of Registry regarding the form’s processing.
In cases of rejection or if amendments are needed, users should follow specified procedures outlined in the communication from ASCP. Remember, support is available through pdfFiller to assist you with any queries regarding the submission process and beyond.
Last updated on Apr 13, 2026

How to fill out the name and address change

  1. 1.
    Access the Name and Address Change Form on pdfFiller by searching for the form name in the platform's search bar.
  2. 2.
    Once located, click on the form to open it in the pdfFiller editor.
  3. 3.
    Before beginning, gather your ASCP number or social security number, previous and current names, addresses, and a daytime telephone number.
  4. 4.
    Use the text fields to enter your previous and current name, address, and contact information accurately.
  5. 5.
    Follow the provided instructions on the form for certification and other requirements carefully.
  6. 6.
    Ensure to attach a digital copy of your birth certificate or legal court document verifying your name change.
  7. 7.
    After filling out all required fields, review the form for completeness and accuracy.
  8. 8.
    Check for any errors, such as typos, missing information, or incorrect document attachments.
  9. 9.
    Once satisfied, save your completed form by clicking the save option in pdfFiller.
  10. 10.
    Choose to download the completed form to your device or submit directly through pdfFiller to the ASCP Board of Registry.
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FAQs

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Individuals who need to officially change their name or address with the ASCP Board of Registry are eligible. This includes applicants who have moved, changed their name due to marriage or legal processes, or are updating their personal information.
While there might not be specific deadlines for submitting the Name and Address Change Form, it's advisable to submit it as soon as the changes occur to ensure that your information is current with the ASCP Board of Registry.
You must include a supporting document such as a copy of your birth certificate or legal court document that verifies your name change. This ensures that all information is officially validated and processed.
After completing the Name and Address Change Form, you should fax it to the ASCP Board of Registry as per their submission guidelines. Ensure that all supporting documents are attached when sending.
Common mistakes include not attaching required documents, entering incorrect personal information, or leaving out required fields. Double-check all information for accuracy before submission.
Processing times can vary based on the ASCP Board of Registry’s workload, but typically, you can expect a response within a few weeks. It's best to check their website for any specific processing timeframes.
No, notarization is not required for the Name and Address Change Form. However, it's important to provide accurate and truthful information to avoid any issues with processing.
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