NAME CHANGE REQUEST
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CURRENT NAME ON ACCOUNT
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NEW/CHANGED LEGAL NAME
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CONTACT INFORMATION
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LEGAL DOCUMENTATION
Please upload a copy of your current Driver's License or State ID showing your legal name change.
Upload Image. Acceptable image types are: .png, .jpg, .jpeg. The maximum size of the uploaded file is 3 megabytes (3mb).

Click or drag & drop image here to upload

OR
Upload File. Acceptable file types are .pdf, .docx, .doc, .odt, .rtf, .txt. The maximum size of the uploaded file is 3 megabytes (3mb)

Click or drag & drop file here to upload

Thank you for submitting your request. A member from our team will be contacting you shortly to verify your information. Please be aware that your request may require a signature which can be completed via our Secured e-Signature platform.