Is your legal
name going to change, have you changed your legal
name or do you have a suffix in your legal
name? Does your BOC profile reflect your current legal
name information? If not, and you want it to, complete a Name Change Request Form
and submit it to the BOC.
In addition to the Name Change Request Form, submit a 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.
If you are only adding a suffix to your name, you may fax, email or mail this document and a copy of your valid Government Issued Photo ID (Driver’s License/U.S. Passport/U.S. Military ID card).BOC Exam Candidates: We must receive this 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 (Use this method if only adding a suffix)
(Use this method if only adding a suffix)
Please Be Certain
.™ to also notify your state regulatory agency
of your legal name change.