Student Social Security Number Or Name Change Form
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1Student Social Security number or Name Change form
Original documentation must be presented in-person with this form.
Copies of documents will be made by College personnel. Original documents required are:
Social Security Addition / Change:
Name Change / Correction
US citizens / permanent residents
US citizens and permanent residents
Social security card AND
Social security card AND
Birth certificate or driver’s license
Marriage certificate / Court papers /
Passport
International students (not permanent residents)
International students (not permanent residents)
Social Security card AND
Passport
Passport
Other official document / ID with new
name (i.e. naturalization certificate)
Student information currently on file:
First Name:
Last name:
P-Number:
Date of Birth:
Signature
Date
I am updating my:
Name
New last name:
New first name:
Middle name / initial:
Social Security Number
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Parent category: Legal