Name Change Request

Complete this form and submit required legal documentation for legal name changes.

New Legal Name New Legal Name First Middle Last
Former Legal Name Former Legal Name First Middle Last
Documentation

Upload your legal name change documentation here (a government-issued document and ID with your new legal name on it, such as a passport or driver’s license along with a social security card or marriage license, etc.)
Upload a File
Comments
Authorization

My signature below confirms request to change legal name.
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Full Name

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Date Date / MM / DD YYYY