North Carolina State Bar
Attorney Name Change Request
State Bar ID: ____________________
Name currently listed in the NC State Bar membership records:
First: ______________________________________
Middle: ____________________________________
Last: ______________________________________
Preferred name to be listed in the NC State Bar membership records:
First: ______________________________________
Middle: ____________________________________
Last: ______________________________________
Nickname: _________________________________
Reason for change: __________________________________________________________
____________________________________________________________________________
Full legal name: ______________________________________________________________
Your name will be changed in the official records of the NC State Bar to the “preferred name” as
listed above. If you are an active member, you will receive a new Bar ID card, mailed to the
address listed in your membership record.
You must be consistent when using your name professionally. See Rule 7.1 of the NC
Rules of Professional Conduct.
Signature: __________________________________________
Return this form to the below address:
NC State Bar
Membership Department
PO Box 26088
Raleigh, NC 27611
