Formal Name Change Procedure
In order to formally change your name: - Contact:
Deborah Slavin
Personnel Specialist
University Park Plaza
2829 University Ave SE
6th Floor
Minneapolis, MN 55455 | Phone: (612) 626-6910
Fax: (612) 624-2682
slavi002@umn.edu | Deborah's walk-in hours are from 10:30am - 4:30pm.
Please e-mail or call to make an appointment. You will need to present: - A copy of your new social security card
- University staff ID badge
- Send a copy of your new social security card to:
Veronica Hall
Residency Program Coordinator
Pediatric Education Office
13-168 Phillips Wangensteen Building | Phone: (612) 624-1192
Fax: (612) 626-7042
hallx415@umn.edu | - E-mail Mira Jurich at mjurich1@fairview.org with:
- Former name
- New name
- Last four digits of your social security number
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