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Indiana Professional Licensing Agency

PLA > Professions > Respiratory Care Committee > Address and Name Change Information Address and Name Change Information

ADDRESS CHANGE
You are required to notify the Indiana Professional Licensing Agency of any address changes within fifteen (15) days of the change. Please call our office at (317) 234-2054 or by email at
pla8@pla.IN.gov to report a change of address. You may also submit your address change in writing to the:

Indiana Professional Licensing Agency
Attn: Indiana Respiratory Care Committee
402 West Washington Street, Room W072
Indianapolis, IN 46204

Please be sure to give us your name, license number or social security number and both your old and new addresses.

NAME CHANGE
You may have the name changed on your licensure records by submitting a legal name change document (marriage certificate, divorce decree, social security card or other legal name change documents).

Please send your name change information to:

Indiana Professional Licensing Agency
ATTN: Indiana Respiratory Care Committee
402 West Washington Street, Room W072
Indianapolis, Indiana 46204

Your request to change your name should include your name as it is listed now, your new name, and your license number or social security number.