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STATE OF CONNECTICUT INSURANCE DEPARTMENT Name Change Request Form For individuals and/or business entities that have legally changed their name and must update their change with our department. Please

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How to fill out name change request form

01

Obtain a copy of the name change request form from the appropriate authority or organization.

02

Fill out the form completely and accurately, providing your current name and the new name you wish to change to.

03

Attach any required supporting documents, such as a copy of your birth certificate or marriage certificate.

04

Sign and date the form, certifying that the information provided is true and accurate.

05

Submit the completed form and any supporting documents to the designated office or person for processing.

Who needs name change request form?

01

Anyone who wishes to legally change their name needs to fill out a name change request form. This could include individuals who have recently been married or divorced, adopted a new name, or simply wish to have a different name for personal or professional reasons.

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What is name change request form?

A name change request form is a legal document that an individual submits to request a change of their name in official records.

Who is required to file name change request form?

Generally, anyone who wishes to legally change their name, such as after marriage, divorce, or personal preference, is required to file a name change request form.

How to fill out name change request form?

To fill out a name change request form, individuals need to provide their current legal name, the desired new name, personal identification details, and any supporting documentation as required.

What is the purpose of name change request form?

The purpose of the name change request form is to formally document an individual's request to change their name and to update official records accordingly.

What information must be reported on name change request form?

The information that must be reported includes the individual's current name, the new name they wish to adopt, date of birth, social security number, and any other identification details required by law.

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