Form preview

Get the free Individual Licensee Name Change Request

Get Form
STATE OF NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE (OSI) PRODUCER LICENSING BUREAU Individual Licensee Name Change Request In order to complete the Name Change, please provide us with the following:
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign individual licensee name change

Edit
Edit your individual licensee name 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 individual licensee name change form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing individual licensee name 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
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
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 individual licensee name change. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

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.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out individual licensee name change

Illustration

How to fill out individual licensee name change

01
Obtain the necessary forms for individual licensee name change from the appropriate authority or agency.
02
Fill out the forms with accurate and updated information.
03
Provide necessary supporting documents such as identification proof, legal name change certificate, or marriage certificate, depending on the reason for the name change.
04
Double-check the completed forms and supporting documents for accuracy and completeness.
05
Submit the filled-out forms and supporting documents to the appropriate authority or agency.
06
Pay any required fees for processing the name change request.
07
Follow up with the authority or agency to ensure that the name change request is processed successfully.

Who needs individual licensee name change?

01
Individuals who have legally changed their name due to marriage, divorce, or any other personal reasons and require their licensee name to be updated.
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
4.7
Satisfied
32 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.

Adding the pdfFiller Google Chrome Extension to your web browser will allow you to start editing individual licensee name change and other documents right away when you search for them on a Google page. People who use Chrome can use the service to make changes to their files while they are on the Chrome browser. pdfFiller lets you make fillable documents and make changes to existing PDFs from any internet-connected device.
Create, modify, and share individual licensee name change using the pdfFiller iOS app. Easy to install from the Apple Store. You may sign up for a free trial and then purchase a membership.
Use the pdfFiller app for Android to finish your individual licensee name change. The application lets you do all the things you need to do with documents, like add, edit, and remove text, sign, annotate, and more. There is nothing else you need except your smartphone and an internet connection to do this.
An individual licensee name change refers to the process through which a licensed individual officially updates their name on their professional license to reflect a change, such as due to marriage, divorce, or personal choice.
Individuals who hold a professional license and have legally changed their name are required to file for an individual licensee name change to ensure that their licensing documents are up to date and reflective of their current name.
To fill out an individual licensee name change, the licensee must complete the designated form provided by the licensing authority, providing their current name, the new name, and any required documentation such as marriage certificates or court orders verifying the name change.
The purpose of an individual licensee name change is to maintain the accuracy and integrity of licensing records, ensuring that the individual's professional identity is consistent across legal documents and official registrations.
The information that must be reported includes the individual's current legal name, the new legal name, the license number, and any supporting documentation that validates the name change.
Fill out your individual licensee name 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

Individual Licensee Name Change is not the form you're looking for?Search for another form here.

Related Features

eSignature for Accounting right in your PDF editor
eSignature for CPA Industry right in your PDF editor
eSignature for Risk Management right in your PDF editor
eSignature for Affiliate Marketing right in your PDF editor
eSignature for Digital Marketing right in your PDF editor

Relevant keywords

2020 New_Mexico licensee licensees 59a licensingstate npn nm nmsa 210c transferable refundable licensing osi ach timely revised documentation

Related Forms

Form preview
PTO/SB/413C
This document is a request form for a first action interview in a patent application.
Fill Now
Form preview
PEER.CONSENT
Certification and request to participate in fy 2011 pilot program concerning public submission of peer
Fill Now
Form preview
request to transfer computer readable form
Doc code: crf.turns.req document description: request for transfer of a computer readable form pto/sb/93 (03-10)
Fill Now
Form preview
PTO/SB/425
This form is used to request relief due to the events of march 11, 2011,
Fill Now
Form preview
ptosb20pct kr form
Doc code: pph.pct.652 pto/sb/20pct-kr (07-12) approved for use through 01/31/2015. omb 0651-0058 u.s. patent and
Fill Now
Form preview
Checklist for a Petition to Recognize a Relationship as a Marriage - u
Checklist for a petition to recognize a relationship as a marriage you must complete a
Fill Now
Form preview
Application for Submission Section III - WORD
Office of adult educationpersonnel file checklistemployee name: date of hire: employee/orientation recordapplication and/or resumedegree
Fill Now
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.