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Request for Duplicate Certificate of Licensure
An Occupational Therapy Practitioner is required by law to give written notice of name, address or
employment change within 10 days of such change. Address, employment and supervision changes
may be made by going to your online profile at the information update tab at www.ncbot.org. Name
changes must be submitted to the Board office with a photocopy of proof of your name change, i.e.:
marriage license, divorce papers, or court documents relating to legal change of birth name. (A copy
of your driver license or social security card is not acceptable.)