Name Change Request

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.
Upload a File

Attach Files
Comments
Authorization

My signature below confirms request to change legal name.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY