Name Change
To change your name on your licensure record, submit the following to the Board:
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Completed Name Change Form
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Copy of the legal document that makes the change effective, i.e., marriage license, divorce decree, etc.
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$10 Fee
Following receipt, your name will be changed on your licensure record. You will then be issued licensure documentation in your new name.
Until your licensure record is updated, you must continue to use your former name in relation to your nursing license(s). To use any other name is a violation of law.
Questions: email Abbey Bruner or call 605-362-2760; please use both your former name and new name in email communication.
