Change of Name Form
Documentation is required before name change can be processed. Acceptable
documentation is a copy of the marriage license, copy of divorce decree section stating
name should be changed, court order specifying name change or a copy of a driver’s
license with a photo.
N
ame that was formerly used at OLLU
Student ID Number Date of Birth
Change name from:
Change name to:
Marital Status (Please check one)
Single Married Divorced Widowed
Student’s Signature Da
te
For office use only
Initials: Date:
This form may be faxed, mailed, or hand carried to:
Our Lady of the Lake University
Registrar’s Office
411 S.W. 24
th
St.
San Antonio, TX 78207-4689
Phone: (210) 431-3959
Fax: (210) 436-2314
click to sign
signature
click to edit