Change Name With Medicare

State:
Multi-State
Control #:
US-01386BG
Format:
Word; 
Rich Text
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Description

A judgment or decree in a divorce case may be modified for sufficient cause. This form is a sample of an order granting a motion of the petitioner in a divorce action seeking to modify a divorce decree and have her name change back to her married name from her maiden name. This form is generic and for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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  • Preview Order Modifying or Amending Divorce Decree to Change Name Back to Married Name
  • Preview Order Modifying or Amending Divorce Decree to Change Name Back to Married Name

How to fill out Order Modifying Or Amending Divorce Decree To Change Name Back To Married Name?

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If you seek to Change Name With Medicare and lack the time to find the correct and updated version, the process could be overwhelming.

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FAQ

You can get your Medicare number via your My Social Security account or My Medicare account (see below).

Remember: if you move your office location, you must complete the appropriate CMS-855/CMS-20134 form to update your Medicare address information. The form must bear a handwritten signature of the physician / non-physician practitioner or of the group / organization's authorized or delegated official.

IF YOU'RE ON MEDICARE, they will update your Medicare info at the same time as your social security card and you will be sent a new Medicare card with your new name (more on this later.) After your "quick" stop at the social security office, the Dept. of Licensing is next.

Medicare Card renewals will be mailed to the address on file. Please make sure to update your address online, by calling 1-888-762-8600 or completing a Medicare Updates and Changes Form. All household members affected by the move must be indicated on the online or mail-in renewal form.

If your information, such as your name, is incorrect on your Medicare card, you will want to reach out directly to the Social Security Administration (SSA). Your Medicare card uses the SSA's record to print your name onto your card.

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Change Name With Medicare