HR66 Change of Legal Name of an Employee

POLICY'S INITIAL DATE: November 15, 1968 
THIS VERSION EFFECTIVE: September 14, 1983

PURPOSE:

To notify appropriate University departments of an employee's change of name.

FORMS THAT MUST BE COMPLETED:

For an employee to change his or her name, it is necessary to obtain and complete the following forms:

1. Request for Change of Beneficiary and/or Change of Name (Group Insurance).
2. Authorization for Purchase of U. S. Savings Bonds (when applicable).
3. Employee's Withholding Allowance Certificate (Form W-4).
4. Approval Authorization Cards (when applicable). (See instructions)
5. Parking Registration Form (form available from Parking Chairpersons)
6. Telephone Directory Adjunct Listing Information Form.
7. Payroll Change Forms. (IBIS form - see instructions)

FORMS THAT MAY BE COMPLETED AT THE OPTION OF THE EMPLOYEE:

The following forms may be completed to initiate certain changes that the employee may desire due to a name change:

1. Voluntary Group Accident Insurance Enrollment Form.
   Available at:
   Univ Park: OHR-Employee Benefits Div, 865-1473
   Hershey: OHR-Hershey, replenished by OHR-Univ Park
   Commonwealth Campuses, Erie-The Behrend College & Harrisburg: Dir of Business Serv, replenished by OHR Employee Benefits Div.
   (See instructions)
    
2. Nomination of Beneficiaries (State Retirement).
   Available from Office of Human Resources - Employee Benefits Division, 865-1473. (see instructions)