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Name Change

You must complete and submit a Name Change Request Form and the required documentation to make an official name change with the BOC. The required documentation varies according to the type of name change being requested. See below for details.

Required Documentation to Change Legal Name
The Name Change Request Form and required documentation to change a legal name must be mailed to the BOC.
  • Original, legal document which indicates reason for change of legal name (e.g., marriage license, divorce decree).
  • OR
  • An official copy of the legal document which indicates reason for change of legal name (e.g., marriage license, divorce decree). This document must be notarized or contain the official raised seal of the department issuing the document (i.e., Department of Vital Statistics) or a stamp that clearly is an original and not a photocopy. PHOTOCOPIES THAT ARE NOT NOTARIZED WILL NOT BE ACCEPTED.
Required Documentation to Add a Middle Initial or Suffix to Name
The Name Change Request Form and required documentation to add a middle initial or suffix to a name may be emailed, mailed or faxed to the BOC.
  • Name Change Request Form and a copy of a valid government issued photo ID (i.e., driver's license/U.S. passport/U.S. military ID card)
BOC Exam Candidates: The BOC must receive Name Change Request Form and required documentation 5 business days prior to your scheduled exam.

Please send requests to:

Board of Certification
Attn: Name Change
1415 Harney St Ste 200
Omaha NE 68102-2250
Fax: (402) 561-0598
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Note: Original documentation will be returned upon request. Please enclose a self-addressed, stamped envelope with your documentation.

Please Be Certain.™ to also notify your state regulatory agency of your legal name change.