Student Record Changes
Type of Record Change
*
PRIMARY NAME
DATE OF BIRTH
SOCIAL SECURITY NUMBER
ADDRESS
PHONE
E-MAIL
DRIVER’S LICENSE
Name
Name
*
First
Last
UTA ID#
*
Email
*
Name Change Request
A copy of your government-issued photo ID and your handwritten signature are required for ALL requests; you can upload them as attachments at the bottom of this form. Changing your name with the Office of the Registrar will NOT change your student email address, if you wish to make that change you must contact the OIT Helpdesk at helpdesk@uta.edu.
Requirements
You must provide a copy of your government-issued photo ID which shows your name as you want it to appear in our records AND one of the following (IF YOUR NAME HAS NOT BEEN CHANGED ON YOUR PHOTO ID you must still provide a copy of it along with TWO of the following items that show your NEW legal name): Birth certificate (original or notarized copy) Passport/visa Original Social Security card (must be signed) Court issued document (original or notarized copy) Marriage Certificate Divorce Decree showing restoration of the original or other name U.S. Immigration documentation
Old Name
Old Name
*
Title
First
Middle
Last
Suffix
New Name
New Name
*
Title
First
Middle
Last
Suffix
Request to Update Social Security Number/ITIN
A copy of your government-issued photo ID (or UTA photo ID), a copy of your SIGNED Social Security card (or government-issued TIN form); and your handwritten signature are required for this request. You can upload them as attachments at the bottom of this form.
Update Address (Former/Alumni Students Only)
Use this form to add a new mailing or physical address to your student record. A copy of your government-issued photo ID (or UTA photo ID) and your handwritten signature are required for ALL requests, you can upload them as attachments at the bottom of this form. CURRENT STUDENTS - Do NOT use this form. You can update your address directly into MyMav.
Mailing Address
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Home Address
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Update Date of Birth
Use this form to update your date of birth. A copy of your government-issued photo ID and your handwritten signature are required for this request; you can upload them as attachments at the bottom of this form.
Date of Birth
Date of Birth
*
/
MM
/
DD
YYYY
Update Phone Number
Use this form to request we add/change your phone number on file with the university.
Phone Number Type
*
Phone Number Type
Mobile
Current
Other
New Phone Number
New Phone Number
*
-
###
-
###
####
Second Phone Number Type (if applicable)
Second Phone Number Type (if applicable)
First option
Second option
Third option
Phone (if applicable)
Phone (if applicable)
-
###
-
###
####
Update Email Address
Use this form to request we add/change your personal email address on file with the university. This form is NOT for making changes to your UTA student email address. A copy of your government-issued photo ID (or UTA photo ID) and your handwritten signature are required for ALL requests, you can upload them as attachments at the bottom of this form.
New Email Address
*
Update Driver License
This form is ONLY for adding/correcting your Driver License number on file with the university. This form should NOT be used for name changes. A copy of your government-issued photo ID (or UTA photo ID) and your handwritten signature are required for ALL requests; you can upload them as attachments at the bottom of this form.
Driver License Number
*
Upload documents in .DOC, .PDF, or .JPG format. Please do not upload .ZIP or .HEIC files.
Maximum File Upload Size: 2 MB
Government Issued Photo ID/ UTA ID
*
Attach Files
Provide Handwritten Signature Below
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Upload Copy of SIGNED Social Security Card/ITIN form
*
Attach Files
Upload Secondary Documentation
*
Attach Files
Upload Additional Documentation
Attach Files
Admin Notes
Draw your signature into the box below.
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.