The George Washington University Office of the Registrar @ Colonial Central SUBMISSION INSTRUCTIONS: Marvin Center Ground Floor If you are submitting your request in person, please visit the Office of the Registrar @ Colonial Central, on the Ground Floor of the Phone: (202) 994-4900 Marvin Center on 21st Street NW. Fax: (202) 994-4448
Request to Change Name/Social Security Number
If you are mailing your request, please submit it to: Office of the Registrar, 2121 I Street NW, Suite 101, Washington, DC 20052
Current Information:
Last Name First Name MI
GWid Number
Date of Birth
Daytime Phone Number
Email Address
Change of Name:
When submitting a request for a Change of Name, the appropriate supporting documentation must accompany the request. Appropriate supporting documentation is granted by governmental agencies. Documents typically include but are not limited to: -> Marriage Licenses -> Legal Name Changes -> Divorce Decrees (only the page stating your name change is required) All court documents must include the signature of the Judge and/or Clerk. Note: If you have separated from The George Washington University, we are unable to change your name on your student record or diploma.
If you are or ever have been employed by the University, name changes must be made at Human Resource Services,2033 K Street, Suite 220.
I hereby request to change my name on my official student record. Please list my new official name as: New Last Name Enclosed is my (please check one): Marriage License Court Document U.S. Passport (must be presented in person) Driver's License (must be presented in person) New Middle Name Other:
New First Name
Change of Social Security Number:
I hereby request to change the Social Security Number (SSN) I have on file at the University. (you must submit a copy of your social security card and a copy of your photo ID with this request) New SSN:
Signature and Date:
I request that my official name and/or Social Security Number be changed in my official student record. Signature (required) Date
* Mail or fax your completed form and any necessary supporting documentation to the Office of the Registrar at the contact information listed above.