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Federation of State Medical Boards (FSM) Name Change/Correction Authorization Form Instructions: 1. Complete this form; and 2. Provide documents to support the change/correction; and 3. For name changes,
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How to fill out name changecorrection authorization form

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How to fill out name changecorrection authorization form

01
Step 1: Obtain the name change/correction authorization form from the relevant authority or institution.
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Step 2: Read the instructions on the form carefully to understand the requirements and procedures.
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Step 3: Fill out the personal information section accurately, providing your full name, contact details, and any other information requested.
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Step 4: Clearly state the reason for the name change/correction and provide any supporting documents or evidence if required.
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Step 5: Include any additional information or declarations as requested, ensuring all sections are completed.
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Step 6: Review the form thoroughly to ensure all information provided is accurate and complete.
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Step 7: Sign and date the form, certifying that the information provided is true and correct to the best of your knowledge.
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Step 8: Make copies of the filled out form for your records.
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Step 9: Submit the completed form and any required documents to the appropriate authority or institution either in person or through the specified submission method.
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Step 10: Follow up with the authority or institution to confirm receipt and the status of your name change/correction request.

Who needs name changecorrection authorization form?

01
Anyone who wants to legally change or correct their name may need to fill out a name change/correction authorization form.
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This could include individuals who have recently married or divorced, people seeking to correct name spelling errors, or individuals who need to change their name for personal or professional reasons.
03
The specific authority or institution requiring the name change/correction may provide further guidance on who needs to fill out the form.
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The name change/correction authorization form is a document used to request a change or correction of an individual's name in official records or documents.
Individuals who wish to change or correct their name as recorded in official documents, such as government IDs or legal records, are required to file this form.
To fill out the name change/correction authorization form, individuals need to provide personal information, including their current name, the new name, reason for the change, and any required identification documents.
The purpose of the name change/correction authorization form is to legally document and process an individual's request to alter their name in official records.
The form typically requires reporting the current name, desired name, reason for the change, personal identification details, and signatures.
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