Complete Section A first. If you are updating your SSN or ITIN, complete Section B; for your Date of Birth, Section C; for the name the Commission has on file for you, Section D.
Signature: this form is only valid if it has your signature and date of signature at the bottom of page 2.
Address changes: changes to your mailing or email address cannot be completed using this form; address changes must be completed online.
Incomplete forms: incomplete or illegible forms or supporting documents will not be processed.
| Question | Answer |
|---|---|
| Form Name | Form 41-NC |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 66 |
| Avg. time to fill out | 11 min |
| Edition | Rev 5/2024 |
| Issuing agency | Commission on Teacher Credentialing |
| Where to send | Commission on Teacher Credentialing Certification Division, 651 Bannon Street, Suite 601 Sacramento, CA 95811, ATTN: Educator Profile Change Request, with all required supporting documentation |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | 41-NC, 41NC, Form 41-NC, Request to Change Name or Personal Profile |
| Official source | Form 41-NC (Rev 5/2024), California Commission on Teacher Credentialing |
Ctc Form 41 Nc isn’t the one you’re looking for?