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.)


Office of the Registrar – Student Service Center
Columbia University
210 Kent Hall, MC 9202
1140 Amsterdam Avenue
New York, NY 10027


Medical Campus Service Center
154 Haven Avenue
Room 406
New York, NY 10032