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Personal Information Changes
Legal Name Change
Legal Name Change
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Use this service to change your legal name or preferred name at CSUCI.
Contact Information
Requester's Preferred Phone #
Short Description
A short description to explain the nature of a ticket.
Detailed Description
Please include additional details regarding your personnel record change. DO NOT include or attach copies of your Social Security Number
Legal Name Change Instructions
The following attachment field is required to submit this ticket. Please complete and attach the following 2 forms to this ticket. DO NOT attach or include your Social Security Number. Use your CSUCI employee ID instead:
1. Employee Action Request
2. Personal Data Form
Attachment
File attachments associated with the ticket.
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Priority
The relative importance of the ticket to the organization.
N/A
Low
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High
Emergency
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code