Optimum Name Change Form - Fill and Sign Printable ... 2026

1. Click ‘Get Form’ to open the Optimum Name Change Form in the editor.
2. Begin by filling out the Account Information section on Page 1, including your account number and service location details.
3. Proceed to Section 1 for a name change. Indicate whether the change is due to marriage or a legal name change, then enter your new account holder name and Social Security number.
4. Sign and date the form in the designated area to authorize the name change.
5. If applicable, complete Section 2 for deceased account holders or Section 3 for account transfers, providing all required information and signatures.
6. Fill out the Customer Equipment Verifications section on Page 3, recording necessary serial numbers for cable boxes or modems as needed.
7. Review all sections to ensure completeness before submitting your form along with any required identification.

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