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Get Name Change Form - State Of Oregon - Oregon
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How to fill out the Name Change Form - State Of Oregon - Oregon online
Changing your name is a significant step that requires official documentation. This guide will help you navigate the Name Change Form from the State of Oregon. Follow the steps carefully to ensure your form is filled out correctly and submitted on time.
Follow the steps to fill out the Name Change Form accurately.
- Press the ‘Get Form’ button to access the Name Change Form and open it in your preferred document editor.
- Enter your full name as it currently appears on your license, including your last name, first name, middle name, and any maiden or previous names in the designated fields.
- Fill in your license number in the specified box, as this helps the Board to identify your records.
- Indicate the effective date of your name change in the appropriate section to document when the change will take effect.
- Provide your mailing address, including the street address, city, state, and zip code, ensuring all information is up-to-date.
- Include your private email address for Board communication and your public email address, which will be available upon records request.
- Complete your home address with the street address, city, state, and zip code, as well as your phone and cell numbers, including area codes.
- Fill in your work address, including your employer's name and the business address, followed by the corresponding phone number.
- Sign the form to certify that the information provided is correct and complete. Additionally, include the date of submission.
- Prepare a copy of supporting documentation that evidences your legal name change, like a driver’s license or marriage certificate, and ensure to include a $25.00 check or money order for processing.
- After checking that all fields are filled correctly and your documentation is included, mail the completed form and payment to the Oregon Physical Therapist Licensing Board at the provided address.
Take the first step towards updating your records by completing the Name Change Form online today.
When a notary public has a legal change of name, he or she is required to notify the Corporation Division within 30 days. Complete our Notary Information Change​ form, have it notarized and deliver it​ to our office. Your signature on this form becomes your new official signature with our office.
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