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Update Your Information

Complete the form below to update your mailing address, telephone number and/or e-mail address. Thank you for keeping us informed.

Proof of identification is required for a name change. We will accept a copy of any one of the following: current RN licence, driver’s licence, birth certificate, passport, marriage certificate or divorce certificate. Please forward the required document by mail to the CNA Certification Processing Centre, Suite 210, 1400 Blair Place, Ottawa, ON  K1J 9B8 or by fax to 613-237-6684. Should you have any questions, please call 1-800-450-5206.

Type of change:

Address: Telephone: E-mail:

Effective date of change:

Name:

Certification ID:




Former address (home):

Former address (work):

Former telephone (home):

Former telephone (work):

Former e-mail (home):

Former e-mail (work):




Current address 1 (home):

Current address 2 (work):

Current telephone (home):

Current telephone (work):

Current e-mail (home):

Current e-mail (work):




Other comments:



 

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Updated: September 17, 2010


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