Form preview

Get the free Name and Address Change Form - Illinois Comprehensive Health ... - chip state il

Get Form
Illinois Comprehensive Health Insurance Plan Administered by Blue Cross and Blue Shield of Illinois PO Box 2401, Chicago, Illinois 60690 1-855-691-7156 (TTY), 312-861-1661 (FAX) Telephone: 1-800-367-6410
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign name and address change

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

Editing name and address change online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to take advantage of the professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit name and 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.
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.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out name and address change

Illustration

How to fill out name and address change:

01
Obtain the necessary form: Start by obtaining the name and address change form from the appropriate authority. This can usually be found online or at your local government office.
02
Provide personal information: Fill in your current name and address in the designated fields on the form. Make sure to double-check for any errors or typos.
03
Provide new name and address: Fill in your new name and address in the appropriate sections. If you are only changing one of these, leave the other field blank.
04
Attach supporting documents: Some authorities may require supporting documents to validate your name and address change, such as a marriage certificate or utility bill. Make sure to include these documents if necessary.
05
Sign and date the form: Read through the form carefully and sign it at the designated area. Don't forget to include the date of submission.
06
Submit the form: Once you have completed the form, submit it to the appropriate authority as instructed. This can often be done in person, by mail, or through an online portal.

Who needs name and address change:

01
Individuals who have recently moved: If you have recently changed your address, it is important to update your information with the appropriate authorities such as government agencies, banks, and insurance companies.
02
Individuals who have changed their name: If you have gone through a legal name change due to marriage, divorce, or personal preference, it is essential to update your name on all relevant documents and accounts to avoid any confusion.
03
Individuals who have experienced a life event: Certain life events, such as getting married or divorced, may require a name and address change. It is crucial to update your information to reflect these changes accurately.
By following the steps outlined above, anyone who needs to fill out a name and address change form can do so efficiently and ensure that their information is updated accordingly.
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
4.0
Satisfied
49 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 name and address 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.
Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your name and address change in minutes.
Using pdfFiller's mobile-native applications for iOS and Android is the simplest method to edit documents on a mobile device. You may get them from the Apple App Store and Google Play, respectively. More information on the apps may be found here. Install the program and log in to begin editing name and address change.
Name and address change is a process of updating personal information such as legal name and physical address.
Any individual or entity whose legal name or physical address has changed is required to file name and address change.
Name and address change can typically be filled out by submitting a form provided by the relevant authority and providing necessary documentation for verification.
The purpose of name and address change is to ensure that accurate and up-to-date information is on record for individuals and entities.
The information that must be reported on name and address change includes the old name or address, the new name or address, and any supporting documentation.
Fill out your name and 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.