Get Alumni Affirmed/preferred First Name Change Request - Unm

This guide provides a straightforward approach to completing the Alumni Affirmed/Preferred First Name Change Request for users at the University of New Mexico. Following these detailed instructions will help ensure that your preferred name is accurately updated in the university's records.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering today’s date in the designated section. Next, fill in your date of birth and age in the corresponding fields.
3. Input your legal first name, middle name (if applicable), and last name in the appropriate fields. In the preferred name section, write the name you wish to be called.
4. Provide your job title, if relevant, in the specified field.
5. Complete your primary address information. This includes your street address, apartment number (if applicable), city, state, and zip code.
6. Fill in your home phone number and extension, if necessary, along with your mobile phone number.
7. Enter your email address in the provided field.
8. For emergency contact information, enter the name and phone number of your designated emergency contact. Specify your relationship to this person and provide their email address and street address details.
9. Next, fill in the pharmacy information, including the pharmacy's name, phone number, street address, city, state, and fax number.
10. Complete the family doctor information section by providing the practice name, doctor’s name, street address, city, state, phone number, and fax number.
11. For insurance information, enter the insurance company name, member number, group number, insured person's name, date of birth, and their relationship to you.
12. If applicable, provide a list of any medical problems with their diagnosis dates or leave it blank for office use.
13. Detail your past surgical history, family history, and any known allergies in the respective sections.
14. Finally, in the social history or other information section, provide any additional details you feel are important.
15. Once you have completed all sections, review your form for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your Alumni Affirmed/Preferred First Name Change Request online today!