Penn Foster Legal Name Change Form

Documented (Legal) Name Change/Correction Request Form

(Official Documentation required)  

While Penn Foster recognizes the importance a change of name might have to students during their time with our institution, documents and records that may display a name may include, among other things, course rosters, student identification cards, learner portals, and other documents used by Penn Foster. A Documented (Legal) Name Change/Correction will be reflected on among other things, a student’s official academic record, enrollment agreement, completion documents or transcript. 

Instructions: Please complete all information under “Required Information,” then complete only those sections that apply to the desired Request for Name Change/Correction.  Please print clearly.
Required Information: (Information in this section must be recorded as it currently appears in Penn Foster Brand records.)  
Last Name:
First Name:
Student ID Number:
Phone Number

Area CodePhone Number
Email:
example@example.com
STUDENT SIGNATURE:

Clear
Printed Name:
Today's Date

MonthDayYear
Date
PARENT/GUARDIAN SIGNATURE (IF APPLICABLE)

Clear
Printed Name:
Today's Date

MonthDayYear
Date

Documented Name Change/Correction of Documented Requirements

This form is used for Official Name Change/Correction only. To change/correct the name that is displayed/reflected on Official Academic Records, Diplomas, or Transcripts, for current, and/or former students, please attach the official documentation, as outlined in the section below. Please indicate your acceptance of these terms by checking the box below.  Official documents will remain Confidential.

Official forms of documentation include:
- State-issued photo identification card, or State-issued Driver’s License,
- AND one of the following:
  
  • Legal document: Marriage Certificate, Passport, Birth Certificate,
  Divorce Decree, or Court Order, OR
  • Social Security Card, or Passport
Documented Name Change/Correction of Documented Name Acceptance

I have read and understand the scope of a Documented (Legal) Name Change/Correction Request, and that following name be recorded as my Legal Name in the student system.  I understand the information in this section represents Document Name, as it currently appears in Penn Foster records.
FORMER/INCORRECT Last Name:
FORMER/INCORRECT First Name:
NEW/CORRECTED Last Name:
NEW/CORRECTED First Name:
PRO NOUNS (If requested)
Completing your Request
- Please complete, and submit this Form, along with attaching official documentation for Legal Name Change/Correction, as outlined above.
Please upload official documentation files here

Browse Files

Cancelof
Should be Empty: