Name Change Affidavit

Use this form to change your name of record in the Columbia University Student Information System. For more information, visit our page concerning Student Names.


Instructions

  1. Download the document from the bottom of this page.
  2. Type in the required information.
  3. Print the completed form.
  4. Sign the form.
  5. Certify the form at a notary public. Forms that have not been notarized will not be accepted.
  6. Include photocopies of the following with your form:
    • a valid government-issued photo ID,
    • a second form of ID, and
    • proof of use of the previous name, such as a former credit card, University ID Card, marriage certificate, bank statement, etc.
  7. Mail the form and photocopies of your supporting documents to the appropriate address available below.

Mailing Information

Morningside/Manhattanville

Office of the Registrar – Student Service Center
Columbia University
210 Kent Hall, MC 9202
1140 Amsterdam Avenue
New York, NY 10027

CUIMC

Medical Campus Service Center
154 Haven Avenue
Room 406
New York, NY 10032