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Name Change Request for Active Employees (R1131X) 2026
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- Click ‘Get Form’ to open the Name Change Request for Active Employees (R1131X) in the editor.
- 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.
- 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.
- 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.
- 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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