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PENN STATE - HUMAN RESOURCES

Policy HR66 CHANGE OF LEGAL NAME OF AN EMPLOYEE

POLICY'S INITIAL DATE: November 15, 1968
THIS VERSION EFFECTIVE: September 14, 1983

Contents:

  • Purpose
  • Forms That Must be Completed
  • Forms That May be Completed at the Option of the Employee

  • PURPOSE:

    To notify appropriate University departments of an employee's change of name.

    FORMS THAT MUST BE COMPLETED:

    For an employee to change his or her name, it is necessary to obtain and complete the following forms:

    1. Request for Change of Beneficiary and/or Change of Name (Group Insurance).

    2. Authorization for Purchase of U. S. Savings Bonds (when applicable).

    3. Employee's Withholding Allowance Certificate (Form W-4).

    4. Approval Authorization Cards (when applicable). (See instructions)

    5. Parking Registration Form (form available from Parking Chairpersons)

    6. Telephone Directory Adjunct Listing Information Form.

    7. Payroll Change Forms. (IBIS form - see instructions)

    FORMS THAT MAY BE COMPLETED AT THE OPTION OF THE EMPLOYEE:

    The following forms may be completed to initiate certain changes that the employee may desire due to a name change:

    1. Voluntary Group Accident Insurance Enrollment Form.
      Available at:
      Univ Park: OHR-Employee Benefits Div, 865-1473
      Hershey: OHR-Hershey, replenished by OHR-Univ Park
      Commonwealth Campuses, Erie-The Behrend College & Harrisburg: Dir of Business Serv, replenished by OHR Employee Benefits Div.
      (See instructions)

    2. Nomination of Beneficiaries (State Retirement).
      Available from Office of Human Resources - Employee Benefits Division, 865-1473. (see instructions)

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