Change of Name, Address or Email?

Submit the form titled Notification of Change of Address with Declaration of Primary State of Residence (PSOR) to OBN within 30 days of a change of address. If your new mailing address is in another state, but you have declared Oklahoma as your current primary state of residence, you must provide evidence of residence in the declared primary state of residence and attach to this notification form a current copy of one of the following:

a. Driver’s license with a home address;
b. Voter registration card displaying a home address;
c. Federal income tax return declaring the primary state of residence;
d. Military Form No. 2058 (state of legal residence certificate); and/or
e. W2 from US Government or any bureau, division or agency thereof indicating the state of residence.

If you do not have one of these documents, please contact the Board office for further direction regarding the processing of your address change request.

Name changes are to be submitted through the Other Applications link in your Nurse Portal account within 30 days of the change. You will be required to submit the current statutory fee at the time of submission of the name change request. If you are currently in the application/certification process, and have never been licensed/certified with this Board, you will not be required to pay the associated fee. All requests for a name change must be accompanied by an uploaded certified copy of the legal document changing your name to the newly requested name. 

• If you have an Oklahoma multistate license and your new primary state of residence is another compact state, you must apply for a license in that state. You may continue to practice under your existing multistate license while your application is being processed. After your new multistate license has been issued, your Oklahoma multistate license will be deactivated.
• If you have an Oklahoma multistate license and your new primary state of residence is not in a compact state, your Oklahoma license will be converted to a single state license.
• If you have an Oklahoma single state license and you obtain a multistate license in another compact state, you may retain your Oklahoma single state license until it lapses, expires or becomes inactive. Your Oklahoma single state license cannot be renewed or reinstated once you obtain a multistate license in another compact state.
• If you have an Oklahoma single state license and you apply for a single state license in your new primary state of residence, you may retain your Oklahoma single state license if you so choose.