Secure Upload
Registrar Secure Document Upload
Please complete the fields below.
*
First Name:
Middle Initial:
*
Last Name:
*
Email:
Student/Banner ID (ex: U00000000):
UUID (ex: ttiger1):
*
Document Purpose
Legal Name Change
Preferred Name Change
Social Security Number (SSN)/Taxpayer Identification Number (TIN) Update
Birthdate Correction
Educational Record Release
Directory Restriction Removal/Release
Legal Sex Update
Other Purpose
If Other is selected for Document Purpose above, please enter the purpose here.
*
Supporting Documentation - Select each type of document that you will be uploading below:
Request Form
Driver's License
Social Security Card
Passport
Resident Alien Papers
Court Order
Mental Health or Physician Documentation
Other
If Other is selected for supporting documentation above, please enter the type of documentation you are uploading.
*
Check the boxes below to confirm that you will be uploading the necessary form(s) and documentation in the next section:
Request Form(s) Uploaded
Secure Document(s) Uploaded
Select a file(s):
Note:
Maximum combined file size should not exceed 100 MB.
Upload
