Name Change Form

Submitted by abradley on Wed, 10/02/2019 - 16:02

This form may be submitted at any time, however, if your expiration date is within the next six (6) months it is suggested that you wait to include this form with your Recertification Application. Please allow 2-10 business days for processing.  A new certificate(s) will be mailed to you.  To check on the status of your name change you must email VCB at Or you can check that status by searching your name in the Credential Search.