Name Change Request for Active Employees (R1131X) 2026

1. Click ‘Get Form’ to open the Name Change Request for Active Employees (R1131X) in the editor.
2. Begin by filling in your current name and member ID or SSN at the top of the form. Ensure accuracy as this information is crucial for processing your request.
3. In Section III, indicate your new last name, first name, and middle initial. If applicable, provide legal documentation such as a marriage certificate or court order to support your name change.
4. Complete your physical address details, ensuring it cannot be a P.O. Box. If your mailing address differs from your physical address, fill that section accordingly.
5. Review all entered information for accuracy before proceeding to Section IV. Sign and date the certification to confirm that all provided information is correct.

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