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RECORD MAINTENANCE Correct: DOB RECORD MAINTENANCE (Terrant County College)

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U.S.A. forms for Terrant County College

BROWSE TERRANT COUNTY COLLEGE FORMS

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Admissions/Records/Registrar
RECORD MAINTENANCE
DateSignature
last six (6) digits of your SSN.
Change:
Name
Address
Correct:
DOB
SSN/ITIN
Admissions/Records/Registrar Change: Name Address
RECORD MAINTENANCE Correct: DOB
Please print legibly.
NAME (Full legal name) ________________________________________________________________________________________________
COLLEAGUE ID___________________________________________ PHONE NUMBER ____________________________________________
DATE OF BIRTH Month/day/year) ___________________________ EMAIL ADDRESS ____________________________________________
Signature ___________________________________________________________ Date ________________________
NAME CHANGE (Documentation matching current legal name is required for name changes.)
This change will require that your TCC WebAdvisor User ID be updated and your password reset to the
last six (6) digits of your SSN.
Are you employed by TCC?
Yes* No
*TCC full-time, part-time and student employees must present Social Security card.
Previous name (Full legal name) ________________________________________________________
Current name (Full legal name) _________________________________________________________
ADDRESS CHANGE (Documentation may be required for residency status changes.)
Current address
(Street) ________________________________________ (Phone) ________________
(City/State/Zip) _________________________________________________ (County)________________
DATE OF BIRTH CORRECTION (Documentation is required for date of birth changes.)
Date of birth on record
(Month/day/year)________________________________
Correct date of birth
(Month/day/year) _________________________________
SOCIAL SECURITY NUMBERSSNCORRECTION
(Documentation is required for Social Security Number changes.)
SSN on record ____ ____ ____  ____ ____  ____ ____ ____ ____
Correct SSN ____ ____ ____  ____ ____  ____ ____ ____ ____
OFFICE USE ONLY
NE NW SO SE TR District DRUS Required: Yes (Name) No
Received by______________________________________ Processed by ___________________________________ Processed by ___________________________________
Date____________________________________________ Date __________________________________________ Date __________________________________________
An Equal Opportunity institution/equal access to the disabled.
SEND ORIGINAL TO IMAGING SO:DTAR.120.01.14
Tarrant
County
College
District
Drivers License SSN Card IRS Form W-7 Notification
Court Order Marriage License Divorce Decree
Admissions/Records/Registrar Change: Name Address
RECORD MAINTENANCE Correct: DOB
Please print legibly.
NAME (Full legal name) ________________________________________________________________________________________________
COLLEAGUE ID___________________________________________ PHONE NUMBER ____________________________________________
DATE OF BIRTH Month/day/year) ___________________________ EMAIL ADDRESS ____________________________________________
Signature ___________________________________________________________ Date ________________________
Complete only the section below that applies to the change or correction you are making.
NAME CHANGE (Documentation matching current legal name is required for name changes.)
This change will require that your TCC WebAdvisor User ID be updated and your password reset to the
last six (6) digits of your SSN.
Are you employed by TCC?
Yes* No
*TCC full-time, part-time and student employees must present Social Security card.
Previous name (Full legal name) ________________________________________________________
Current name (Full legal name) _________________________________________________________
ADDRESS CHANGE (Documentation may be required for residency status changes.)
Current address
(Street) ________________________________________ (Phone) ________________
(City/State/Zip) _________________________________________________ (County)________________
DATE OF BIRTH CORRECTION (Documentation is required for date of birth changes.)
Date of birth on record
(Month/day/year)________________________________
Correct date of birth
(Month/day/year) _________________________________
SOCIAL SECURITY NUMBERSSNCORRECTION
(Documentation is required for Social Security Number changes.)
SSN on record ____ ____ ____  ____ ____  ____ ____ ____ ____
Correct SSN ____ ____ ____  ____ ____  ____ ____ ____ ____
OFFICE USE ONLY
NE NW SO SE TR District
Received by______________________________________
Processed by ___________________________________
Date ____________________________________________ Date __________________________________________
An Equal Opportunity institution/equal access to the disabled.
SEND ORIGINAL TO IMAGING
Processed by ___________________________________
Date __________________________________________
DMD01010:3.28.19
Tarrant
County
College
District
LEGAL NAME CHANGE (Documentation matching current legal name is required for name changes.)
Note: TCC WebAdvisor User ID and email will be updated and your password will be reset to default.
Are you employed by TCC?
Yes*
No
*TCC full-time, part-time and student employees must present Social Security card.
Previous name (Full legal name) _____________________________________________________________________________
*
Current name (Full legal name) ______________________________________________________________________________
ADDRESS CHANGE (Documentation may be required for residency status changes.)
Current address (Street) ________________________________________ (Phone) _____________________________________
(City/State/Zip) _________________________________________________ (County) _____________________________________
DATE OF BIRTH CORRECTION (Documentation is required for date of birth changes.)
Date of birth on record
(Month/day/year) ________________________________
Correct date of birth
(Month/day/year) _________________________________
SOCIAL SECURITY NUMBERSSNCORRECTION
(Documentation is required for Social Security Number changes.)
OFFICE USE ONLY
Drivers License SSN Card IRS Form W-7 Notification
Court Order Marriage License Divorce Decree
(Documentation is required for Individual Taxpayer Identification Number addition/changes.)
ITIN on record
____ ____ ____ - ____ ____ - ____ ____ ____ ____
Correct ITIN ____ ____ ____ - ____ ____ - ____ ____ ____ ____
Tax regulations require TCC to report student ITINs on TCC's 1098T tuition statement if SSN is not provided.
T PROVIDE A SSN
T
(
SELECT THIS BOX IF YOU DECLINE TO OR CANNO or TIN.
DATE OF BIRTH EMAIL ADDRESS
Month/Day/Year
Admissions/Records/Registrar Change: Name Address
RECORD MAINTENANCE Correct: DOB
Please print legibly.
NAME (Full legal name) ________________________________________________________________________________________________
COLLEAGUE ID___________________________________________ PHONE NUMBER ____________________________________________
DATE OF BIRTH Month/day/year) ___________________________ EMAIL ADDRESS ____________________________________________
Signature ___________________________________________________________ Date ________________________
Complete only the section below that applies to the change or correction you are making.
NAME CHANGE (Documentation matching current legal name is required for name changes.)
This change will require that your TCC WebAdvisor User ID be updated and your password reset to the
last six (6) digits of your SSN.
Are you employed by TCC?
Yes* No
*TCC full-time, part-time and student employees must present Social Security card.
Previous name (Full legal name) ________________________________________________________
Current name (Full legal name) _________________________________________________________
ADDRESS CHANGE (Documentation may be required for residency status changes.)
Current address
(Street) ________________________________________ (Phone) ________________
(City/State/Zip) _________________________________________________ (County)________________
DATE OF BIRTH CORRECTION (Documentation is required for date of birth changes.)
Date of birth on record
(Month/day/year)________________________________
Correct date of birth
(Month/day/year) _________________________________
SOCIAL SECURITY NUMBERSSNCORRECTION
(Documentation is required for Social Security Number changes.)
SSN on record ____ ____ ____  ____ ____  ____ ____ ____ ____
Correct SSN ____ ____ ____  ____ ____  ____ ____ ____ ____
OFFICE USE ONLY
NE NW SO SE TR District DRUS Required: Yes (Name) No
Received by______________________________________ Processed by ___________________________________ Processed by ___________________________________
Date____________________________________________ Date __________________________________________ Date __________________________________________
An Equal Opportunity institution/equal access to the disabled.
SEND ORIGINAL TO IMAGING SO:DTAR.120.01.14
Tarrant
County
College
District
Drivers License SSN Card IRS Form W-7 Notification
Court Order Marriage License Divorce Decree
Drivers License SSN Card IRS Form W-7 Notification
Court Order Marriage License
Divorce Decree
DRUS Required: Yes (Name)
No
Correct SSN ____ ____ ____  ____ ____  ____ ____ ____ ____
SSN on record
____ ____ ____  ____ ____  ____ ____ ____ ____
INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER (ITIN)
CHOSEN NAME CHANGE
Complete only the section below that applies to the change or correction you are making.
Previous first name ___________________________________________________________________________________
Chosen first name ____________________________________________________________________________________
Students may choose to identify themselves within the college using a chosen first name that differs from their legal name. A
student's chosen name may appear instead of the legal name in select college-related systems and documents, provided that the
chosen first name is not being used for the purpose of misrepresentation.
STUDENT ID _____________________________________________ PHONE NUMBER_____________________________________________
NAME (Full legal name) _______________________________________________________________________________________________
CURRENT ADDRESS __________________________________________________________________________________________________
Street City State Zip
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RECORD MAINTENANCE Correct: DOB RECORD MAINTENANCE (Terrant County College)

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Completed 2 February 2021

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