Change Of Name, Address, Or Id (Social Security) Form
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1Hunter College of the City University of New York – Office of the Registrar
One Stop, Room 217 North, 695 Park Avenue, NY 10065
CHANGE OF NAME, ADDRESS, OR ID# (SOCIAL SECURITY #)
Please note the following:
• ALL NAME CHANGES MUST BE accompanied by supporting documentation (i.e., Marriage
License, Court Order, Divorce Decree, Birth Certificate, Immigration Papers).
• A change of ID# requires a signed Social Security Card.
• If you have been declared a New York State Residen t and yo u change your address to an out of
state address, you will be charged the Non-Resident tuition rate for the next semester.
• YOU MUST SIGN T HIS FORM AN D CONFIR M IF YOU ARE RECEIVING FINANCIAL AID.
Please submit ORIGINAL DOCUMENTATION. This form will not be processed with copies.
•
Are you currently a CUNY Employee?
Yes
No
Please select address types to be updated by this request (check all that apply):
Mailing
Billing
Home
Permanent
Please note all documents submitted become the legal property of the College and may not be
surrendered back and/or copied.
EMPL ID#
PRESENT
CHANGE TO
Information as it appears on
Hunter
: (fill in appropriate information)
records
ID# (Social Security#)
ID# (Social Security#)
___________________________________
____________________________________
Last Name
Last Name
_____________________________
____
________________________________
____
First Name
MI
First Name
MI
_____________________________________
_______________________________________
Number and Street Address
Number and Street Address
_____________________________________
_____________________________________
City
City
_______
____________________
_______
_______________________
State
Zip Code
State
Zip Code
(_____)_______________________
(______)________________________
Telephone with Area Code
Telephone with Area Code
Do you receive any type of Financial Aid?
_____Yes
_____No
Date of Birth _____/_____/_________
Student’s Signature _____________________________
Date____________
* This form will not be processed without the student’s signature
_____________________________________
__________________________________
OFFICIAL USE ONLY
Processed by ____________________________ Print Name:________________________ Date: ______________
Signature
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