Kansas Administrative Regulations
Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT
Article 61 - LICENSURE OF SPEECH LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS
Section 28-61-10 - Change of name or address
Universal Citation: KS Admin Regs 28-61-10
Current through Register Vol. 43, No. 52, December 26, 2024
(a) Each licensee shall notify the department of any name or address change within 15 days of the change. Each licensee who fails to comply with this regulation may be subject to disciplinary action by the department pursuant to K.S.A. 65-6508, and amendments thereto.
(1) Notice of each address change shall be
submitted to the department and shall include the licensee's name, license
number, previous mailing address, and new mailing address.
(2) Complete notification of each name change
shall meet the following criteria:
(A) Be
submitted to the department in writing within 90 days of the change;
(B) include the licensee's previous name, new
name, and license number; and
(C)
be accompanied by a copy of a marriage certificate, court decree evidencing the
change, or a social security card reflecting the new name.
(b) Each licensee seeking a replacement license or license renewal card, or both, shall perform the following:
(1) Submit a
department-approved form for each and payment of the applicable replacement
fee; and
(2) return, if possible,
the most recently issued license or license renewal card, or both.
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