Requirements
Two forms of acceptable documents will be required along with receipt of this completed form. Please mail copies or come in person or fax the documents supporting this name change.
One form of documentation must be either a marriage certificate or a court order, the second form, a photo ID.
INSTRUCTIONS
*Do not use Internet Explorer
*Fill out this form to initiate your request
*Submit form (Click "Submit" button after completing form)
*A receipt will be sent to the email entered on the form
*Print out the emailed receipt and mail, fax, or come in person with the acceptable documents; if mailing send to The Office of Registration and Records
*Your request will be processed after acceptable documents are received by the Office of Registration and Records
Please Note: When submitting personal documents, only the last 4 digits of your SSN is needed.
If you have any questions, please email registrar@brockport.edu
