Changing the name on your Licentiate
Replacement documents with name changes are issued as duplicates as amended.
Requirements:
- A written request providing:
- Your full name (including any middle or former name, and current name)
- Current contact information (address, phone number, e-mail)
- Date of birth
- LMCC Number (or MCC Candidate Code if available)
- Signatures (former and new names)
- A statement confirming that you make this request for the purpose of having the MCC recognize your legal name and for no other or improper purpose.
- A statement indicating that you acknowledge and agree that the Canadian Medical Regulatory Authorities will be notified in writing regarding your new name
- A legal, notarized order or other name change document (certified as a true copy of the original) confirming the former and new names.
- Return the original documents (Testamur and Certificate of Registration) to the MCC.
NOTE: If you do not have your original documents, you must provide a statutory declaration (i.e., affidavit) certified by a lawyer or a notary public stating the reason why (e.g., documents lost, stolen, destroyed, etc.). The declaration must also state that if the original Certificate of Registration and/or Testamur is/are subsequently located, the original(s) will be returned to the MCC office.
- $200.00 CAD fee to replace both documents due to a name change
We cannot re-issue only one document under your new name. BOTH documents must bear the same name.
We only accept payment by Visa or MasterCard. Please complete the Credit Card Authorization Form.
