CampusGroups

Legal Name Change Request

To request a legal name change, please use the following guidelines:

Faculty and staff should contact Human Resources regarding name changes.
Students can request a legal name change in one of these ways:
1. In-person, by going to the University Registrar's office, Sears Library Building, Room 220.
2. By mail, sending your request to the following address: Office of the University Registrar, Case Western Reserve University, 10900 Euclid Avenue, Sears Library Building, Room 220, Cleveland, OH, 44106.
3. Electronically, by continuing with this form.

All requests require supporting documentation. Refer to the University Registrar's Name Change page for a detailed list of acceptable documents.

If you have questions, please contact the University Registrar's Office at registrar@case.edu, 216.368.4310, or in Sears Library Building, Room 220. Our office hours are Monday - Friday, 8:30am - 5:00pm.

Would you like to continue with an electronic name change request? *

Yes

Note: If you want to submit your request in-person or by mail, exit the form by closing your browser window. If you would like to come back to this form later, choose Save Form as Draft at the bottom of the page.

Requestor Information

7 Digit Student ID:

Date of Birth: *

Net ID (e.g., abc123): *

Email Address *

Phone Number

Previous Name

First:

Middle:

Last:

New Name

First:

Middle:

Last:

Authorization

Signature: *

Legal Name Change Request

Documentation

Documentation