Change of Primary Address
Current Full NAME:
New Full NAME:
Mrs. Ms. Miss Mr.
Address to Change: My Address
My Parent’s Address
Change of Permanent Address
Effective Date for
* Please complete this form and press the button above to print it out. Then sign it and deliver it to the Registrar’s Office.
525 S. Main
FAX (419) 772-2627
A request to change your name, marital status, or sex/gender in the University Administrative System must be made in person at
the Registrar’s Office, Lehr Building, Room 106.
Acceptable documents verifying change:
• Name: Valid driver’s license, government issued Photo ID, Social Security card, marriage license, divorce decree that
reinstates maiden name, adoption documents, court order, valid passport, or birth certificate. For international
students on a visa, the name must reflect the name that appears on the visa. (If you have not requested a change of
name with the Social Security Administration, please apply for a new social security card at the nearest Social
Security Administration Office.)
Marital Status: Marriage license or divorce decree
Sex/Gender Change: Valid driver’s license, government issued Photo ID, court order, valid passport, or birth