NAME/SOCIAL SECURITY NUMBER CHANGE
S TAT E U N I V E R S I T Y O F N E W Y O R K
Office of Records & Registration, SUNY New Paltz, 500 Hawk Drive, New Paltz, NY 12561-2439
Student type:
U
G
N
Student ID Number
___________________________________
(________)_ ________________________ Telephone Number
E-mail
Social Security Number
____________________________________________________________________ Name
CHANGE TO:
Social Security Number
To change your Social Security Number you must have a copy of your new Social Security Card.
____________________________________________________________________ Name
To change your name, you must have a copy of legal documentation, such as marriage
certificate, divorce papers, legal separation papers, court order approving name change.
A driver’s license is not sufficient.
__________________________________________________
Student’s Signature
Date
8/11 • 38-049