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Change of name form

The Change of name form should be used to obtain a replacement card with your new name. 

Print the form, complete it and forward it to the department with a certified ‘change of name’ document. This document must demonstrate a link between your current name and your previous one. 

Acceptable change of name documents include:

Section 3 of this form asks what type of child-related work you are doing. Please refer to the List of occupational fields to complete this section.

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Author: Working with Children Check Unit,
Publisher: Department of Justice and Regulation
Date of Publication: 2019
Copyright: State of Victoria, 2019.

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Working with Children Check Unit
Department of Justice and Community Safety
GPO Box 1915
Melbourne VIC 3001

Customer Support Line: 1300 652 879
Hours of operation are 8:30am - 5pm weekdays (excluding public holidays)

If you need an interpreter please call the Translating and Interpreting Service on 13 1450 and have them contact the Working with Children Check Customer Support Line on 1300 652 879.



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