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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
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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
Medium
High
Emergency
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code