Name/SSN Change Authorization

Update your legal name or social security number by completing this form and providing the appropriate legal documents required as proof.

Changes to your address and phone numbers should be made in Banner Self-Serv on the Personal Information tab.

Student Information

Student Id*

Name*

Student Email*

Are you graduating this semester?*

Yes

Change Name?

New First Name

New Middle Name

New Last Name

Previous First Name

Previous Middle Name

Previous Last Name

Change SSN?

New Social Security Number

Ex: 123-45-6789

Previous Social Security Number

Ex: 123-45-6789

File Upload*

Social Security Number changes require a valid Social Security card.

Name Changes require one of the following legal documents:

Drag and drop files here or