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Name changes must be submitted in writing within 30 days of the change.

Use form SFN 50072 Change of Address and/or Name.

Individuals submitting a name change must attach a copy of the legal document such as a court order or marriage certificate.

Business entities must first amend the name with the North Dakota Secretary of State. Contact the Secretary of State:
www.nd.gov/sos or sosbir@nd.gov or call 701-328-4284.

There is no fee for processing a name change. A new license will be mailed when the change has been processed by the Department.

North Dakota Insurance Department
ndlicensing@nd.gov
State Capitol, fifth floor
Dept. 401
600 E. Boulevard Ave.
Bismarck, ND 58505-0320

701.328.3548
701.328.4880 fax
800.247.0560 toll free
800.366.6888 TTY line

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