SSN and Name Changes

Social Security Number Changes:

  1. Print and sign the below SSN / Name Change Form.
  2. You must also provide a copy of your Social Security card with your SSN / Name Change Form. The copy of the Social Security card must reflect the new number and/or name. 
  3. Deliver your SSN / Name Change Form and copy of Social Security card either in person, by mail, email or fax. Delivery in person or by mail to is recommended as the security of information via email and fax is not guaranteed. 

Download and Print Form

Name Change Requests:

  1. Print and sign the below SSN / Name Change Form.
  2. You may request to change either your full legal name (Last, First and Middle), or your preferred unofficial first name. Preferred name changes only apply to your First name, are not an official name change, and will not display on official documents.
  3. You must also provide a copy of your Social Security card with your SSN / Name Change Form. The copy of the Social Security card must reflect your new number and/or name. 
  4. Deliver your SSN / Name Change Form and copy of Social Security card either in person, by mail, email or fax. Delivery in person or by mail to is recommended as the security of information via email and fax is not guaranteed. 

Download and Print Form

Change of Address (Former Students Only):

Current students: Permanent Mailing, Emergency, and W2 addresses can be changed online through MySam. If you require assistance changing your W2 address, please contact the Payroll Office.

  1. Print and sign the below SSN / Name Change Form.
  2. You may request to change either your full legal name (Last, First and Middle), or your preferred unofficial first name. Preferred name changes only apply to your First name, are not an official name change, and will not display on official documents.
  3. You must also provide a copy of your Social Security card with your SSN / Name Change Form. The copy of the Social Security card must reflect your new number and/or name. 
  4. Deliver your SSN / Name Change Form and copy of Social Security card either in person, by mail, email or fax. Delivery in person or by mail to is recommended as the security of information via email and fax is not guaranteed. 

Download and Print Form