California CodesBusiness and Professions Code - BPCDivision 2 — Healing ArtsChapter 16 — Licensed Professional Clinical CounselorsArticle 6 — RevenueSection 4999.118
A licensee or registrant shall give written notice to the board of a name change, giving 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 or registrant 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 or registrant who changes names to notify the board in writing within 30 days after issuance of new government photographic identification, stating both old and new names. The signed notice must certify accuracy under penalty of perjury and include copies of current government photo identification and the legal document authorizing the name change.
Use as reference
Lexinter.net | California Code, Business and Professions Code - BPC § 4999.118 | https://laws.lexinter.net/codes/california/business-and-professions-code/division-2/chapter-16/article-6/section-4999-118