ACEM name change notification
  • ACEM name change notification

  • Form No: F964

    Last Revised: August 2025

    Version: v1

  • Has there been a change to your first name?*
  • Has there been a change to your middle name?*
  • Has there been a change to your surname?*
  • Are there any other changes required to your name or ACEM Portal profile?*
  • To update your name on your ACEM Portal profile, you must provide certified copies of your original name change documents. Your updated name must also match the name registered with AHPRA or MCNZ.

    A certified copy is a copy of an original document that has been verified as true by an authorised certifier. To obtain this, make a copy of your original document and take both to an Authorised Officer, who will compare them and certify the copy.

    If your name change is due to divorce, please provide your birth certificate along with documentation confirming your divorce, or documents showing both your married and birth names.

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