Fill in all requested information neatly and completely; you are
required to present (or attach a copy if submitting via email) your
updated SSN card with this form.
Student Name ______________________________________________________________________________________________
USFID Number _____________________________
The University of South Florida protects the Social Security Numbers of all individuals which are in its possession. As required
by Florida Law (119.071 (5)), USF provides written notice of the potential at https://www.usf.edu/it/documentation/collection-of-ssn.aspx
Student Signature _______________________________________________________ Date _____________________________
CORRECT SOCIAL SECURITY NUMBER
____ ____ ____ ____ ____ ____ ____ ____ ____
Verified SSN on card
Processor & Date ____________________________________________________
Office Use Only
Social Security Number
Correction Form
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
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