Name Change Request - Employee Form

Employee Name Change Request Form

Please complete the form below and click Submit Form. Upon submission, the form will be reviewed and then forwarded to the appropriate dean or supervisor for confirmation.

* Indicates a required field

Former Middle Initial:

Middle Initial:

Wesleyan ID Number*:

*Has the person identified above had his/her name legally changed through the appropriate government agencies?

Please note: If you indicated "No", the form cannot be processed. Legal name change is required prior to form submission.

*Has the person identified above submitted the appropriate legal documents to and had the name change officially approved by TW's Human Resources Department?

Please note: If you indicated "No", the form cannot be processed. Please contact the Human Resources Department for more information.

Please select all the network resources that the person identified accesses*:

Important: All email and data should be copied and saved by the user prior to the accounts under the old user ID being terminated. Please contact the ICT Help Desk at (817) 531-4428 for assistance.

Please allow 10-15 business days for processing. For an update on the status of your request, contact the ICT Help Desk at (817) 531-4428.

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