Nebraska DHHS: Licensing & Regulatory Affairs: Athletic Training: Name and Address Change

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Athletic Training
Name and Address Change

To request an address change, you can call (402) 471-2299.

If you wish to change your name on your Licensing & Regulatory Affairs record, you must complete the Affidavit of Name Change form and submit it with a copy of the legal document verifying name change to:

Licensure Unit
Athletic Training
PO Box 94986
Lincoln, NE 68509-4986

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Athletic Training Name and Address Change

Athletic Training
Name and Address Change