Saginaw Valley State University Social Security Number Change

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Office of the Registrar
Student Data Change Form
Name:
Student ID Number:
SOCIAL SECURITY NUMBER CHANGE
DOCUMENTATION REQUIRED: A valid social security card.
Old Social Security Number:
New Social Security Number:
NAME CHANGE
DOCUMENTATION REQUIRED: A certified marriage license, divorce decree, or a legal name
change document
.
Old Name:
New Name:
TECHNOLOGY USERNAME/ACCESS ID CHANGE INFORMATION
Complete this section if you are doing a name change and want your Technology Username/Access ID
to change accordingly, or you are requesting that your Technology Username/Access ID be changed
due to other circumstances.
Current Username/Access ID:
SVSU ID Number:
Phone Number:
If this request is not due to a name change, indicate the reason:
Please note:
You will be notified of your new username at the above phone number when the change is complete. Changes are
normally processed within two weeks, excluding registration periods and the weeks preceding and including finals, and are effective the
day after you are contacted. You may not be able to access certain services the day your change is processed. Changes related to non-
name changes must be approved by the Executive Director or Director of IT Services.
Student Signature: _______________________________________________ Date: _________________
Processed By: ___________________________________________________ Date: _________________

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