Name Change or Add Social Security Form
Submit this completed form and the required documentation. Forms without appropriate documentation included will not be processed. Please allow up to 4-5 business days for the change to be processed.
What item (s) are you changing/adding? (You can submit both items at the same time via this form)
*
Name
Social Security Number
Name on Account
*
First Name
Middle Name/Initial
Last Name
AMT ID number
*
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Change Name to:
First Name
Middle Name/Initial
Last Name
Add social security number to AMT account
Indicate Supporting Documentation Submitted
*
Photo of Driver’s License, Passport or State ID
Copy of Marriage Certificate
Copy of Divorce Decree
Copy of Social Security Card (Required to add Social Security Number)
Supporting Documentation
*
Browse Files
Please attach either PDF, jpg or word documents files as documentation.
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of
Optional comments
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