Fillable Name Change Request Walla Walla University Academic Records (Walla Walla University)

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Name Change Request Walla Walla University Academic Records (Walla Walla University)

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Country of origin: US
File type: PDF

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Name Change Request
Walla Walla University Academic Records Office
204 S. College Ave., College Place, WA 99324-3000
TEL 509-527-2811 FAX 509-527-2574
The minimum office time required to process this request will be 4-5 working days
.
Date: _______________________ WWU ID No. _________________ Social Security No. _________________
Previous Name: Please print your full name below exactly as it is currently listed in the WWU student information system.
________________________________ __________________________________ _______________________________
First Middle Last
New Legal Name: Please print your full legal name below as it appears on your new officially issued Social Security Card.
________________________________ __________________________________ _______________________________
First Middle Last
Reason for Change: (marital status change, etc.) _____________________________________________________________________
Contact Information: Tel #:________________________ Email Address: ________________________________________
Instructions: After completing this form, print and sign it. Then submit the form along with the following required documentation:
1) Copy of your new Social Security Card 2) Copy of photo ID (e.g. Driver’s License) with a name matching your SS Card.
________________________________________________
Signature (Required on ALL requests)
For Office Use Only
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Name Change Request Walla Walla University Academic Records (Walla Walla University)

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Completed 2 February 2021

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