LPC- Name Change and/or Duplicate License Form - Texas.gov 2026

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4.3 out of 5

63 votes

The document is a form from the Texas State Board of Examiners of Professional Counselors for requesting a name change or duplicate license certificate. It outlines the necessary information required, including current and new names, license number, and addresses, along with associated fees and submission instructions.

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Click ‘Get Form’ to open it in the editor.
Select whether you are requesting a name change or a duplicate license by checking the appropriate box at the top of the form.
Fill in your current name and new name if applicable. Ensure that the names match your official documents for accuracy.
Enter your license number in the designated field to help identify your record.
If requesting a name change, attach a supporting document such as a social security card or driver’s license showing the name change.
Complete the address change section if necessary, providing both your current and new addresses along with phone numbers.
Review all entries for accuracy before submitting. Once completed, save your form and follow instructions for submission.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (65 Votes)
2018	4.3 Satisfied (63 Votes)

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