61-6.021. Licensee Name Change  


Effective on Wednesday, December 24, 1997
  • 1(1) Licensees shall direct their requests for name changes on the master file of the Department to the board office of their profession or to the Bureau of Licensure, 301940 North Monroe Street, 34Tallahassee, 35Florida 3632399-220537.

    38(2) Name change requests shall be in writing and shall be documented. An original, a certified copy, a duplicate copy of an original or a duplicate of a certified copy of an original document which shows the legal name change shall be accepted unless the Department has a question about the authenticity of the document raised on its face, or because the genuineness of the document is uncertain, or because of another matter related to the application.

    115(3) Documents acceptable by the Department for request of a license name change include a marriage license, a court order (e.g., adoption, divorce decree, name change, or federal identity change), a certificate of status, or a certificate of authorization.

    154(4) Documents unacceptable for a request of a license name change include all documentation other than those listed above.

    173Specific Authority 175455.203(5) FS. 177Law Implemented 179455.203 FS. 181History–New 8-26-93, Amended 4-3-95, 12-24-97.

     

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