Arsbn 2026

1. Click ‘Get Form’ to open the Name Change Request in the editor.
2. Begin by entering your current name as it appears on file with ASBN. Fill in the fields for your first, middle, and last names.
3. Indicate your legal name change by filling in the previous name and selecting the reason for the change (Marriage, Divorce, Religious Order).
4. Provide your Social Security Number, telephone number, license number, date of birth, and current address in the designated fields.
5. Select the type of license you are requesting a name change for (RN, LPN, LPTN, APRN, RNP) and declare your primary state of residence.
6. Attach a copy of the legal document supporting your name change by uploading it directly through our platform.
7. If applicable, complete the payment section for replacement licenses by entering credit card information or selecting another payment method.
8. Finally, sign and date the form before submitting it through our platform to ensure all changes are processed efficiently.

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