Office Use Only
System Update:
By:
Date:
September 2018
Name Change Form and Policy
The University of West Alabama | Office of the Registrar | Station 55 | Livingston, AL 35470 | registrar@uwa.edu
This form and supporting documents must be printed and mailed or emailed.
Policy for Name Change
Students who wish to change their names do so within the Office of the Registrar. A form is provided for the student wishing to make
the change. To process the change, the University of West Alabama requires a copy of this form and legal documents declaring the
change. Legal documents include marriage certificates, divorce decrees, and court orders.
UWA ID Number/Social Security Number:
Current Name on Record:
Middle
Last
Date of Birth:
Phone Number:
Email Address:
New Legal Name:
Middle
Last
[ ]
Change of name due to MARRIAGE requires a copy of your marriage certificate or current Social Security card reflecting
your new name AND a government-issued photo ID reflecting your new name.
[ ]
Change of name due to LEGAL CHANGE requires a copy of a court order AND a government-issued photo ID reflecting
your new name.
[ ]
Change of name due to DIVORCE requires a copy of divorce decree or current Social Security card reflecting your new
name AND a government-issued photo ID reflecting your new name.
[ ]
Change of name due to ADOPTION requires a copy of a court order AND a government-issued photo ID reflecting your
new name.
[ ]
Change of name due to SPELLING ERROR normally requires a government-issued photo ID reflecting the correct
spelling. At times, your Social Security card may be required.
[ ]
Change of name due to GENDER CHANGE requires a copy of a court order AND a government-issued photo ID
reflecting your new name.
Signature
Date