FLORIDA INTERNATIONAL UNIVERSITY
COLLEGE OF LAW
CHANGE OF NAME FORM
Name: ____________________________________________________________
Panther I.D. Number
Last
First
Middle
Directions: Please complete this form if you have legally changed your name. Attach a copy of the
legal document reflecting the change of name and indicate by marking the appropriate box below.
Please print clearly. Any student requesting a Change of Name by naturalization must present this
form to the College of Law Office of the Registrar in person with the required documentation.
Marriage (Marriage Certificate)
Naturalization (Original Certificate)
Legal Name Change (Court Document with New Name) Divorce (Legal document restoring maiden name)
RETURN TO THE REGISTRAR’S OFFICE, RDB 2017