Legal_name_gender_SSN_Change request

Legal Name, Gender, and/or Social Security Number Change Form

The Registrar’s Oﬀice will process name changes for currently enrolled students only.
Student ID #:*
As of date*, I request that my official New Mexico Tech records be updated to reflect the following request:
I am request the following legal record change:

Legal Name ChangeLegal Gender Designation ChangeSocial Security Number ChangeMarital Status Change
Legal Name Change Request
Change Name From:

First NameMiddle NameLast Name
To: New Name of:

First NameMiddle NameLast Name
Reason for this request:
(Marriage, court order, or specific other)
Legal Gender Designation Change

If you are a US citizen or permanent resident, your federal sex designation should match the gender designation that NMT reports to the Social Security oﬀice for federal reporting purposes, distribution of federal aid, and employment records. Otherwise, if you are not an US citizen or permanent resident, your legal gender designation should match the gender marker on your passport.
My legal gender designation is: (a copy of updated birth certificate is needed)

Female (F)Male (M)Nonbinary/other (X)
Social Security Number Change

A updated Social Security Card must be provided for verification, please upload a copy below
New Social Security Number
Marital Status Change
My marital status is:

SingleDomestic PartnershipMarried
Required Documents for Request processing

Please provide the following documentation:
1. A certified copy of a marriage certificate, court order, or dissolution decree reflecting the new name and updared Social Security Card;

2. An updated Social Security Card and Driver’s License, or Passport, or Government or Military I.D.

3. An updated Birth Certificate with gender designation.

Student employees must present an updated Social Security Card.
Documents required for Name/SSN changes: Photo ID & SSN card. Please upload here.*

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I am aware of and fully understand the possible complications that may occur from this change and, therefore, do not and will not hold New Mexico Tech liable in any way. I also understand that the Registrar’s Oﬀice at New Mexico Tech will notify the appropriate departments of this change, but it is my responsibility to notify any instructors of courses in which I am currently enrolled.
Date

MonthDayYear
Date
Signature*

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For Oﬀice Use Only:

Date Received:

_______________

Initials:

_____________

Copies of required documents attached:

_____ Yes _____ No

Date Processed:

________________

Semester Effective:

_______________

Should be Empty:

Legal Name, Gender, and/or Social Security Number Change Form

Legal Name Change Request

Legal Gender Designation Change

Social Security Number Change

Marital Status Change

Required Documents for Request processing