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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 W#

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