(a) Changes of name because of adoption, change in marital status, or other legal proceeding may be made when applying for any service. An original copy of the official document authorizing the name change-such as a marriage certificate, divorce decree, or court order-shall be presented to the examiner at the time of application.
(b) Changes of name not authorized in a legal proceeding may be granted if the use of the name is not for any fraudulent purpose, does not infringe on the interests or rights of others, is not prohibited by any judicial or administrative adjudication, and is otherwise legal. The applicant shall complete an "Affidavit of Name Change" form provided by the Department. The affidavit shall be notarized and accompanied by a certified copy of the person's proof of identity document(s).
(c) The affidavit described in Subsection (b) shall include: - (i) The applicant's full first, middle, and last names, as shown on the applicant's proof of identity document.
- (ii) The applicant's full first, middle, and last names as changed.
- (iii) The applicant's date and place of birth.
- (iv) The applicant's present mailing address and physical address or residence if different from the mailing address.
- (v) The applicant's natural or adoptive mother's full name, including her maiden name.
- (vi) The applicant's natural or adoptive father's full name.
- (vii) Any other names that the applicant has used during the preceding 10 years. The affidavit shall also show the date and places (by state, county, and city) where each name was used.
- (viii) Each address where the applicant has resided during the last 10 years and the length of time the applicant resided at each location.
- (ix) The applicant's current job title and employer (including the address and location of both the employer and the job work site), and the previous job title(s) and employer(s) the applicant has had during the preceding 10 years (including the address and location of both the employer and job work site).
- (x) The applicant's certification that the requested name change and use of such name on any license or identification card issued by the Department, in whole or in part:
- (A) Is not for any wrongful or fraudulent purpose;
- (B) Does not and shall not infringe on the interest, rights, or privacy of any other person;
- (C) Is not prohibited by or in violation of any judicial or administrative adjudication.
- (xi) The applicant's certification that he or she understands it is unlawful to use a false or fictitious name on any application or affidavit and that any Department-issued license or identification card shall be canceled for failing to give the required or correct information.