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Name Changes – Personal
If you want to change your name, please complete this form.
Name
This field is for validation purposes and should be left unchanged.
Current Full Name
(Required)
Your License Number
(Required)
Newly Requested Name
(Required)
Attach any legal documents showing your name change.
(Required)
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Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 40 MB.
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