California Codes, Business and Professions Code - BPC, Division 2 — Healing Arts, Chapter 13.5 — Licensed Educational Psychologists, Article 4 — Regulation, Section 4989.46
A licensee shall give written notice to the board of a name change, providing both the old and new names. The written notice shall be submitted to the board within 30 days of the issuance of a new government-issued photographic identification. The licensee shall certify the information is correct by signing a statement under penalty of perjury. A copy of both of the following documents evidencing the change shall be submitted with the notice:
(a) A current government-issued photographic identification.
(b) The legal document authorizing the name change, such as a court order or a marriage certificate.
Notes
Requires a licensee to notify the board in writing of a name change within 30 days after issuance of new government photographic identification. The notice must state old and new names, be signed under penalty of perjury, and include copies of current government photo identification and the legal document authorizing the change.
Use as reference
Lexinter.net | California Code, Business and Professions Code - BPC § 4989.46 | https://laws.lexinter.net/codes/california/business-and-professions-code/division-2/chapter-13-5/article-4/section-4989-46