Human Resources Policies

HR66 Change of Legal Name of an Employee

Policy Status: 

Active

Policy Steward: 

Vice President for Human Resources

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

  • Purpose
  • Forms That Must be Completed
  • Forms That May be Completed at the Option of the Employee
  • 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)