Name Change Notice Form YOU'LL NEED THE FREE ADOBE ACROBAT READER® TO VIEW, SAVE AND PRINT SOME FORMS. (Get help with PDF)

The Name Change Notice form is intended for use by Campus employees for name changes only.

Active MIT Employees can make changes to their MIT address, home address, phone and e-mail address through Employee Self Service.

How to Use
Print and mail the form at right to the HR-Payroll Service Center, NE49-3182. You must include supporting documentation.

Valid supporting documentation includes:

• A copy of your marriage license
• A copy of your new Social Security card

After the documentation has been received by the Service Center, a notification of the name change will be sent to:

• Human Resources (including the HR-Payroll Service Center and the Benefits Office)
• Payroll Office
• Medical Department
• Medical and Retirement Benefits Carriers

Employees are responsible for notifying the Credit Union of Name Changes.

Name changes for students, Lincoln Laboratory employees and MITemps (Casual Labor) should be sent:

• Undergraduate and graduate students can update their names by contacting the Registrar's Office, 5-119.
• MITemps employees should contact their department Administrative Officer.
• Regular active Lincoln Laboratory Staff should contact the Lincoln Laboratory Human Resources Department.