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