Request for Name Change RIDER

---

The name change procedure is optional.

A notary public may continue to sign the name on his or her commission until the commission expires and change the name upon your commission renewal.

Step 1

Verify your license was submitted through Atkinson Bros. Agency using the Secretary of State Notary Search.

Step 2

If your record Does Not show Atkinson Bros. Agency, you will need to contact the agency shown on your record as we are not able to make the change for you.

If your record Does show Atkinson Bros. Agency answer the question below.

Do you still want to change your name?

Yes

---