| National Board for Certification in Occupational Therapy, Inc. (NBCOTÒ) 12 South Summit Avenue Suite 100 Gaithersburg, MD 20877-4150 (301) 990-7979 Fax (301) 869-8492
To Request a Name Change to Your Certification Record
Mail a photocopy of two forms of legal documentation such as:
1. A government-issued document (license, state-issued ID, or passport) 2. The marriage certificate, divorce decree, or court order that shows the legal name change
along with the completed Name Change Request Form to:
NBCOT 12 S. Summit Avenue, Suite 100 Gaithersburg, MD 20877-4150 Attn: Name Change Request
NBCOT® will inform you in writing that it has made the change. Please allow 3 to 4 weeks for processing.
To Request An Address Change Mail, fax (301-869-8492), or E-mail changes@nbcot.org the following information to NBCOT: name, certification number, previous address, new address, home phone number including area code.
To File A Disciplinary Action Complaint If you would like to file a complaint against an OCCUPATIONAL THERAPIST REGISTERED OTRÒ (OTR) or a CERTIFIED OCCUPATIONAL THERAPY ASSISTANT COTAÒ (COTA), e-mail us at professional.conduct@nbcot.org. More information about disciplinary action procedures is available online.
If you Have a Felony in Your Background See information on Good Moral Character Review or e-mail us at character.review@nbcot.org or call 301-990-7979.
To Request an application for Certification Renewal Send an email to recert@nbcot.org or call 301-990-7979.
To Contact NBCOT for General Comments Send an email to info@nbcot.org or call 301-990-7979.
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