Gender/Name Update Request

Gender/Name Update Request

To ensure the accuracy and privacy of your record, the Department of Student Registration requires a written authorization to make changes or corrections to the name and/or gender listed in your student account.
- Updating a name and/or gender with this request is not a legal name change.
- The name that appears on the updated school records will be different from the legal name that may be required to apply for benefits and services outside the FPS and this mismatch may create delays or issues.
- By signing this form, we acknowledge that we have considered the information.
Student's LASID #
Local ID # 6 digits
Student's date of birth

MonthDayYear
Date
UPDATED NAME
FROM:*

First NameMiddle NameLast Name
TO:*

First NameMiddle NameLast Name
UPDATED GENDER
Our records require one of these binary gender choices in order to comply with state and federal reporting requirements. However, students may define their gender identity in their own words.
MaleFemaleNonbinary
Name of the person filling out this form*

First NameLast Name
Relationship to the student*
Email*
example@example.com
Signature:*

Clear
Today's date:*

MonthDayYear
DateHourMinutesAM/PM Option
FRAMINGHAM PUBLIC SCHOOLS
DEPARTMENT OF STUDENT REGISTRATION
19 Flagg Drive Door 1 – Framingham MA 01702
Phone: 508-424-3420 Fax: 508-879-1023

Office visit by appointment only
Should be Empty: