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Registrar's Office: Request for Change of Name
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Step
1
of 2
Date
*
Current Name on Record
*
First
Middle
Last
Email
*
ID/Soc. #
*
New Name
*
First
Middle
Last
Former Name
*
First
Middle
Last
Student's Signature (former name)
*
Clear Signature
Next
Proof of Legal Name Change
You must supply two documents as proof of legal name change.
1. Driver's License or State ID card*
*
Click or drag files to this area to upload.
You can upload up to 2 files.
*A social security card will not be accepted in place of a driver's license, state ID, or passport.
License Number:
*
2. One of the following: Passport, copy of marriage certificate, or court document reflecting name change**
*
Click or drag files to this area to upload.
You can upload up to 2 files.
**If submitting a divorce decree, the first and last page with official stamp is required to resume former name.
Document Dated:
*
Submit