| (a) A licensee is required to provide current name,
address, telephone number, and employment information. The licensee
shall notify the department of any changes within thirty (30) days
of such changes on a department-approved form or using a department-approved
method.
(b) A request to change the name currently on record
must be submitted in writing with a copy of a divorce decree, marriage
certificate, legal name change document, or social security card showing
the new name.
(c) To receive a duplicate license, the licensee shall
submit the duplicate/replacement fee required under §111.160.
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