Get Name Change Request Form (pdf) - National Board For ... - Nbcot

This guide provides clear instructions on how to complete the Name Change Request Form through the National Board for Certification in Occupational Therapy. By following these steps, you can ensure your name change is processed efficiently and correctly.

Follow the steps to complete the Name Change Request Form accurately.

1. Press the ‘Get Form’ button to obtain the Name Change Request Form. This will allow you to access the form in an interactive format.
2. Begin by providing your current legal name in the appropriate fields. Include your first name, middle name, and last name as they appear on your legal ID.
3. If applicable, indicate your prior last name to assist in linking your previous records with your new name.
4. Fill in your date of birth to verify your identity.
5. For candidates who have not yet taken the certification exam, select your current status regarding your ATT letter. Specify whether it has been issued and pay attention to the associated fees.
6. Provide your current mailing address, including street address, city, state/province, country, and postal code.
7. Enter your contact information, including your phone number and email address, ensuring that the NBCOT can reach you regarding your name change.
8. Attach a copy of valid government-issued identification that reflects your legal name change. Examples include a driver’s license or passport, but not a social security card.
9. Choose your payment method if you are requesting a new certificate and wallet ID card. Fill out the necessary credit card information or indicate if you are using a check or money order.
10. Review all the information provided for accuracy before finalizing the document.
11. Once completed, you can save your changes, download, print, or share the form as needed. Submit the form and your documentation to the specified NBCOT address.

Start your Name Change Request process online and ensure your records are up to date.