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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 OTR
Ò
(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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Posted: August 2003

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