Name Change Affidavit

Name Change Affidavit (PDF)

Your name of record is the name listed in the Columbia University Student Information System. To change your name, use this form.

IMPORTANT: This form cannot be submitted electronically. Please type in the required information, print, sign and mail to the appropriate address. This form must also be notarized by a Notary Public.

With your name change affidavit, you should send photocopies of the following:

  • Government-issued photo ID
  • Another form of ID
  • Proof of use of the old name (credit card, University ID Card, marriage certificate, bank statement, etc.)

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