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WEST VIRGINIA BOARD OF PHARMACY 1207 Quarrier Street, 4th Floor Charleston, WV 25301Change of Name/Address Form (Individual Licensee) The West Virginia Board of Pharmacy must be notified of any name/address
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How to fill out change of nameaddress

01
To fill out a change of name/address, follow these steps:
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Obtain the change of name/address form from the relevant government agency or department.
03
Read the instructions carefully to understand the requirements and documents needed.
04
Fill out the form accurately, providing all the requested information.
05
If changing the name, provide supporting legal documents such as a marriage certificate, divorce decree, or court order.
06
If changing the address, provide proof of residence such as utility bills, lease agreements, or tax documents.
07
Double-check the form for any errors or missing information.
08
Sign and date the form as required.
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Attach all the necessary supporting documents as specified in the instructions.
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Submit the form and supporting documents to the appropriate government office or department.
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Pay any applicable fees, if required.
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Keep copies of the filled-out form and all supporting documents for your records.
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Follow up with the government office or department to ensure the change of name/address has been processed successfully.

Who needs change of nameaddress?

01
Change of name/address may be needed by individuals who have:
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- Got married or divorced and need to update their legal name.
03
- Moved to a new address and need to update their official records.
04
- Applied for a change of legal status and need to update their personal information.
05
- Experienced a name change due to adoption or other legal processes.
06
- Decided to use a different name for personal or professional reasons.
07
- Been instructed by a government agency or department to update their name/address records.
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Change of name/address refers to the process of officially updating your name or address in relevant records, such as legal documents, government databases, or financial institutions.
Individuals who legally change their name or move to a new address are typically required to file a change of name/address. This can include citizens, residents, and sometimes businesses.
To fill out a change of name/address form, provide your current name and address, the new name and/or address, and any necessary identification information. Follow the specific instructions provided by the entity you are filing with.
The purpose of change of name/address is to ensure that personal or business information is accurate and up-to-date in legal, government, and financial records, which is essential for communication and legal identification.
Typically, you must report your current name and address, the new name and/or address, and any relevant identification numbers (such as Social Security Number or tax ID) along with your signature.
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