Form preview

Get the free Name or Address Change Form - CT.gov - ct

Get Form
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH Please check the appropriate box REQUEST RENEWAL APPLICATION NAME CHANGE REQUEST DUPLICATE LICENSE ADDRESS CHANGE All requests should be mailed or
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign name or address change

Edit
Edit your name or address change form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your name or address change form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit name or address change online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Click Start Free Trial and register a profile if you don't have one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit name or address change. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out name or address change

Illustration

How to fill out name or address change:

01
Start by obtaining the necessary forms: Visit the official website of the relevant government agency or organization that handles name or address changes. Look for the specific form related to name or address change. Alternatively, you may be able to obtain a physical copy of the form from a local office or by contacting the organization directly.
02
Read the instructions carefully: Before filling out the form, make sure to thoroughly read and understand the provided instructions. This will help ensure that you provide all the required information and follow the correct procedures.
03
Provide personal information: Begin by filling out your personal information accurately and completely. This may include your full legal name, current address, date of birth, Social Security number, and any other information requested by the form.
04
Indicate the reason for the name or address change: Clearly state the reason for the desired change, whether it is due to marriage, divorce, legal name change, relocation, or any other valid reason. Be concise and specific in your explanation.
05
Attach supporting documentation: In many cases, you will be required to provide supporting documentation to validate the name or address change request. This may include marriage certificates, divorce decrees, court orders, utility bills, or other documents as specified by the instructions. Ensure that all copies are clear and legible.
06
Complete additional sections if applicable: Depending on the specific form, there may be additional sections to complete. These could include providing information regarding any dependents affected by the change, selecting new addresses for mailing purposes, or indicating any additional names used in the past.
07
Review and double-check: After completing the form, review all the information you have provided to ensure accuracy and completeness. Double-check for any errors or missing information that could delay or invalidate your request.
08
Sign and date: Once you are confident that the form is filled out correctly, sign and date it as instructed. This signature confirms the accuracy of the information you have provided and your understanding of the consequences of any false statements.
09
Submit the form: Follow the instructions provided to submit the form. This may include mailing it to the designated address, submitting it online, or delivering it in person to the appropriate office. Keep a copy of the filled-out form for your records.

Who needs name or address change:

01
Individuals who have recently married or divorced and wish to change their last name.
02
People who have legally changed their name and need official documentation to reflect the change.
03
Individuals who have relocated and need to update their address with various organizations, such as government agencies, banks, employers, and utility companies.
04
Those who have experienced a change in their immigration status or citizenship and need their official records to reflect the new information.
05
Individuals who want to correct errors or outdated information on their identification documents, such as driver's licenses or passports.
06
People who have legally changed their gender or prefer a different gender marker on official documents.
07
Anyone who wants to ensure that their mail is delivered correctly and avoid any confusion related to their name or address.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
55 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Name or address change is the process of updating personal information such as name or address on official records.
Individuals who have legally changed their name or relocated to a new address are required to file a name or address change.
Name or address change forms can typically be filled out online or submitted in person at the appropriate government office.
The purpose of name or address change is to ensure that official records accurately reflect an individual's current information.
The information that must be reported typically includes the old name or address, the new name or address, and any supporting documentation such as a marriage certificate or utility bill.
name or address change and other documents can be changed, filled out, and signed right in your Gmail inbox. You can use pdfFiller's add-on to do this, as well as other things. When you go to Google Workspace, you can find pdfFiller for Gmail. You should use the time you spend dealing with your documents and eSignatures for more important things, like going to the gym or going to the dentist.
With pdfFiller's add-on, you may upload, type, or draw a signature in Gmail. You can eSign your name or address change and other papers directly in your mailbox with pdfFiller. To preserve signed papers and your personal signatures, create an account.
In order to fill out documents on your iOS device, install the pdfFiller app. Create an account or log in to an existing one if you have a subscription to the service. Once the registration process is complete, upload your name or address change. You now can take advantage of pdfFiller's advanced functionalities: adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.
Fill out your name or address change online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.