Get Geisel School Of Medicine Name Change Certification - Dartmouth ... - Geiselmed Dartmouth

This guide provides a comprehensive overview of how to complete the Geisel School Of Medicine Name Change Certification. Whether you are changing your name due to marriage, a court order, or other reasons, this step-by-step approach will help ensure that your documentation is correctly submitted.

Follow the steps to successfully complete the certification form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Fill in the 'As of (date)' section with the date you are requesting the name change.
3. In the 'From (Previous Name)' field, clearly print your current official name as it appears on your records.
4. Next, fill in the 'To (New Name)' field with the name you would like to be officially recognized as.
5. Enter your 'Graduation Year' in the specified section to help the institution process your request accurately.
6. Provide your 'Date of Birth' to confirm your identity in the records.
7. In the 'Social Security #' field, provide your social security number for identification purposes.
8. Explain the reason for your name change in the 'For Reason of' section by indicating whether it is due to marriage, court order, or another reason.
9. Attach the required documentation, which includes either a marriage certificate or court order, and an updated social security card, driver's license, or passport, as applicable.
10. Read and acknowledge your understanding of the potential complications of this name change by signing the document and adding the date.
11. Once all fields are completed and documentation attached, review the form for accuracy before saving changes or downloading it.
12. Print the completed form or share it as needed for submission.

Complete your name change certification online today to ensure your records are updated promptly.