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Name Change Request

Name Change Request Form

The Name Change Request Form is available online.

Emailed or faxed requests will not be accepted.  The form must have a notary's signature and seal, certifying that you have presented appropriate documentation with your new name to the notary.  Return the original notarized form to:

Flyer Student Services

300 College Park

Dayton, OH 45469-1601


Documentation Required for Name Changes  (if delivering to office in person)
  • Marriage - A copy of the marriage certificate and a copy of a driver's license/passport in the married name
  • Divorce - A copy of the divorce decree, court entry, or court order authorizing legal name change and a copy of a driver's license/passport in the new name
  • Legal Name Change - A copy of the court order authorizing the name change and a copy of a driver's license/passport in the new name
  • Naturalization/Citizenship - A copy of the naturalization certificate and/or a copy of the court order authorizing the name change and a copy of a driver's license/passport in the new name
  • Correction due to Misspelling - A copy of the driver's license/passport with the correct spelling of the name

Chosen Name Policy

Still have questions regarding Chosen Name?  Please visit the Chosen Name FAQs for frequently asked questions.
CONTACT

Flyer Student Services

St. Mary's Hall
300 College Park
Dayton, Ohio 45469 - 1600
Email