12 AAC 44.930 - Change of name

A licensee authorized to practice under this chapter shall notify the board of a change of mailing address or name not later than 30 days after the change. A report of a change of name must be made in writing and must be accompanied by one of the following to verify the change of name:

(1) a completed affidavit supplied by the board;
(2) a certified copy of a marriage certificate;
(3) a certified copy of a divorce decree; or
(4) a certified copy of a court ruling.

Notes

12 AAC 44.930
Eff. 1/13/80, Register 73; am 12/1/84, Register 91; am 12/27/2012, Register 204

Authority:AS 08.68.100

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