Name Change - Frequently Asked Questions
- When do I need to submit a name change and what is the procedure?
- What type of documentation is needed?
- Can copies of the documents be submitted instead of the originals?
- If I submit an original, how will it be returned?
- Can I practice under only my middle name when my license states first, middle, last?
- What if no special documentation exists?
- Is there a fee to process a name change?
- Will a new license be issued after the name change has been processed?
When do I need to submit a name change and what is the procedure?
California law requires you to report any name change and you must complete the "Notification of Name Change" form within 30 days of the change.
What type of documentation is needed?
The marriage certificate, final dissolution decree, naturalization papers or copy of a court order, or certification and proof that the name is customarily used and is not used for fraudulent purposes (e.g., Social Security Card or driver's license).
Can copies of the documents be submitted instead of the originals?
Yes, but all copies must be notarized.
If I submit an original, how will it be returned?
All original documents will be returned by certified mail.
Can I practice under only my middle name when my license states first, middle, last?
A physician must practice under the name listed on his or her license, except the middle name need not be included.
What if no special documentation exists?
You must complete the Notification of Name Change form declaring that you are using the name for all purposes and not fraudulently. You also must submit identification such as a notarized copy of a current driver's license and a notarized copy of a social security card.
Is there a fee to process a name change?
No.
Will a new certificate be issued after the name change has been processed?
A duplicate certificate will not automatically be issued. You may order a duplicate certificate by completing the "Application for Duplicate Certificate" and submitting the appropriate fees.
