Nebraska DHHS: Licensing & Regulatory Affairs: Medical and Specialized Health: Temporary Educational Permit: Name and Address Change

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Temporary Educational Permit
Name Change

If you wish to change your name on your Licensing & Regulatory Affairs record, you must mail a written request with your signature notarized along with a copy of the legal document verifying name change to:

Licensing & Regulatory Affairs
ATTN: Meegan Dyrland
PO Box 94986
Lincoln NE 68509-4986

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Temporary Educational Permit Name Change

Temporary Educational Permit
Name Change