Apply by Email or Fax

1. To apply for a change of name in Prince Edward Island, the applicant needs to fill out the application form, here is the application.
2. Submit the application either by emailing it or by fax.
3. Attach all required documents, a list of documents can be found under the “Required Documents” section of this page.
4. Here is the email address: Registrar General, Vital Statistics at hsa@gov.nt.ca (link sends e-mail) as a draft for review.
5. Here is the fax number: 1-867-777-3197
6. The application will be forwarded to the relevant authorities.
7. Once approved, the applicant will receive their certificate either by mail or another mode, the applicant will be informed.

• One of the following needs to be attached:
  • A copy of a birth certificate or a certified copy of a birth
  • A registration statement with a single name issued in the NWT;
  • A copy of a valid immigration document with a single name
  • A written statement confirming that the traditional culture
• Fee receipt
• Application form link

Mailing address: Registrar General of Vital Statistics Health Services Administration Office
Bag #9 Inuvik, NT X0E 0T0.
Toll-free: 1-800-661-0830
Phone: 1-867-777-7400
Fax: 1-867-777-3197
Email: hsa@gov.nt.ca
Email address: Registrar General, Vital Statistics at hsa@gov.nt.ca (link sends e-mail) as a
Fax number: 1-867-777-3197
Contact Link

• The applicant must be at least 19 years old.
• The applicant must be a Canadian citizen, permanent resident or otherwise legally entitled to remain or live in Canada.
• The applicant must be a resident of the Northwest Territories and should have lived in NWT for at least 3 months continuously.

• Here are the fees that need to be paid:
• Change of Name: $134.00.
• Each additional individual whose name change is included on an adult application: $54.00.
• A duplicate change of name certificate: $27.00
• Use of Common-Law Spouse’s Last Name Statutory Declaration (certified copy): $22.00
• Breakdown of Spousal Relationship Statutory Declaration (certified copy): $22.00

• The document is valid forever and does not need to be renewed.

• Application form link

Please attach sample completed documents that would help other people.

• The applicant shall receive the certificate within 6-8 weeks from the submission of the application.

Videos explaining the procedure or to fill the applications. 
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites. 	
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver, 
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.