R9-16-908. Changes Affecting a Certificate or Certificate Holder

A. A certified doula shall submit a change application to the Department in a Department-provided format within 30 calendar days after the effective date of a change in: 1. The certified doula’s home address, telephone number, or email address, including the new home address, telephone number, or email address; and 2. The certified doula’s name, including a copy of one of the following with the certified doula’s new name: a. Marriage certificate, b. Divorce decree, or c. Other legal documents establishing the certified doula’s new name. B. A certificate holder notifying the Department of a name change shall request a revised certificate issued with the certificate holder’s new name by submitting to the Department an application for a revised certificate in a Department-provided format that includes: 1. The certified doula’s name and address, 2. The certified doula’s certification number and expiration date, 3. The certified doula’s new name, 4. The certified doula’s signature and date of signature, and 5. A revised certificate fee specified in R9-16-909.