New Paltz State Univerity Name/social Security Number Change
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1NAME/SOCIAL SECURITY NUMBER CHANGE
S TAT E U N I V E R S I T Y O F N E W Y O R K
Office of Records & Registration, SUNY New Paltz, 500 Hawk Drive, New Paltz, NY 12561-2439
Student type:
U
G
N
Student ID Number
_ _________________________________
E-mail
(________) ________________________
Telephone Number
Social Security Number
____________________________________________________________________
Name
CHANGE TO:
Social Security Number
To change your Social Security Number you must have a copy of your new Social Security Card.
____________________________________________________________________
Name
To change your name, you must have a copy of legal documentation, such as marriage
certificate, divorce papers, legal separation papers, court order approving name change.
A driver’s license is not sufficient.
__________________________________________________
Student’ s Signature
Date
8/11 • 38-049
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Parent category: Legal