X
GO

Board of Athletic Training - Request a Name Change

A licensee shall notify the board of any name and/or address change within 30 days of the change. Please keep in mind this is public information. Please complete the form below and we will update your record. IF you ONLY need to change your address, please access the online services page located at https://IBPLicense.iowa.gov/ to change your address.

If you would like to receive a new licensure card and/or license certificate due to the name change, you must pay the $20.00 fee. This can be done by accessing the online services page located at https://IBPLicense.iowa.gov/

Establishments can change the name of their establishment ONLY as long as the ownership has not changed. If an establishment has an ownership and/or address change a new license application is required. This can be done by accessing the online services page located at https://IBPLicense.iowa.gov/