Employee Permanent Address

Legal Name Change Form

Use this form to update your W-2 address or your legal name. Click here to update your campus/email address.

Legal Name Change

Effective Date:

Include a photocopy of your valid social security card with your new name as supporting documentation.

Mr.	Mrs.	Miss	Ms.
Dr.	None	Other:

Prior Name: Last First MI Suffix (Jr., Sr., etc.)

New Name: Last First MI Suffix (Jr., Sr., etc.)

New Email Address:

Signature: _____________________________________________ Date: ___________________

By signing I authorize WWU to update all HR/Personnel documents including pay check, and or pay advice

Return Completed form to Human Resources, AE2, MS5221