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Return completed form to the Registrar’s Office
Plant Hall 90
(813) 253-6251
Fax: (813) 258-7238
registrar@ut.edu
Change of Address
**using black ink is recommended**
ID Number
Please Check Appropriate Address:
Permanent Home Address (mail default)
Local Address
_____
_____
Student’s Name (Last, First, M.I.)
Street Address Unit #
City State Zip Code
Phone Number
HOME ___ CELL ___ WORK
_____ Check here if you are a recipient of Veterans benefits
_____ Check here if you are studying on a student visa
I certify that I am the above named person and the information I have provided is accurate.
Signature Date
Revised 3/2017
click to sign
signature
click to edit
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