Legal Name Change Form
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1Legal Name or Social Security
Number Change
Once your legal name and social security number has been determined, it becomes official and will remain unchanged unless
legal documentation is provided to justify altering your legal name or social security number on your official record. Please
provide two documents from the list below. Note: One form of documentation must be a picture ID (i.e. Driver's License).
Acceptable legal documents are the following:
•
Marriage certificate/license
•
Court order for legal name change
•
Divorce decree including reinstatement of former name
•
Annulment documents
•
Birth certificate
•
Adoption certificate
•
Adoption documents
•
Passport (International only), which must be valid and stamped with student visa
•
Government Issued Driver’s License
•
Social Security Card
Copies of the above documents are unacceptable; originals are required. Other documents, such as paper copy driver’s license,
Social Security card letters, or notarized statements, are not acceptable. Complete and sign this form and return the form and
legal documentation to the Office of the Registrar.
Please complete the following information:
Student ID#: __________________________
Previous Name: Last ____________________________________ First _________________________Middle __________________
Maiden Name: Last _____________________________________ First _________________________Middle __________________
(If different from above)
New Legal Name: Last ___________________________________ First _________________________Middle __________________
Reason for Name Change: _____________________________________________________________________________________
___________________________________________________________________________________________________________
Telephone _____________________________________________ Student Email _________________________________________
Signature ________________________________________________________________________ Date _____________________
NOTE TO UPCOMING GRADUATES: If you are an upcoming graduate and have already submitted your Graduation Petition, you
will need to submit an updated Graduation Petition to the Registrar’s Office IMMEDIATELY to ensure the correct name is printed on
your diploma. Failure to do so will result in a fee that the student will be responsible for paying for a diploma reprint.
Office of the Registrar • 1269 Barclay Circle Marietta, GA 30060 • (770) 426-2780 Office • (770) 426-2872 Fax
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Parent category: Legal