Partner Name Change Kit Form

NameChange Kit

Everything you need to update your name, shipped to your door

Kit + Identity Protection

The Name Change Kit plus a full year of identity theft protection

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Name Details - Applicant Current Name

My birth name is the same as my current name

Name Details - Applicant New Name

Applicant Details

Applicant Date of Birth (MM/DD/YYYY)

Applicant Sex Male Female

Driver License & Passport Details

Will you be changing your name on your driver's license? Yes No

Will the applicant be Applying for a passport ? Yes No

Do you have a passport? Yes No

Were you at least 16 when your most recent passport was issued? Yes No

Was your most recent passport issued less than 15 years ago? Yes No

Has your passport been damaged, mutilated, lost, or stolen? Yes No

Is your name changed due to marriage or court order? Yes No

Height Feet

Height Inches

Hair Color

Eye Color

Permanent Address Details

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