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Get the free Name Change Request - Dental Assisting National Board

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Contact DANB with any questions at 1-800-367-3262. Submit this form to DANB Attn Client Services 444 N. Michigan Ave. Dental Assisting National Board Inc. DANB Name Change Request This form will be accepted through Dec. 31 2017. Signature X Date X DANB 444 N. Michigan Ave. Suite 900 Chicago IL 60611 1-800-367-3262 Fax 1-312-642-3550 docreview danb. Suite 900 Chicago IL 60611 Fax 1-312-642-3550 Policy In order to change a name on file with DANB this completed form and acceptable...
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How to fill out name change request

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Start by downloading the name change request form.
02
Fill out your current name and the new name you wish to change it to in the designated fields.
03
Provide the reason for the name change and any supporting documentation if required.
04
Include your contact information, including phone number and email address.
05
Sign and date the form.
06
Submit the completed form to the relevant authority or department that handles name change requests.

Who needs name change request?

01
Anyone who wants to legally change their name needs to fill out a name change request. This can include individuals who have gotten married, divorced, or simply wish to change their name for personal or professional reasons.
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A name change request is a formal application submitted to request a change in an individual's legal name.
Any individual who wishes to change their legal name is required to file a name change request.
To fill out a name change request, the individual must provide their current legal name, the desired new name, reason for the name change, and any supporting documentation.
The purpose of a name change request is to legally change an individual's name to reflect their preferred name.
The information required on a name change request includes the current legal name, desired new name, reason for name change, and any supporting documentation.
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