Name Changes

Name Change Affidavit (PDF)

Please print and complete the Name Change Affadavit and send it and a copy of a legal name-change document (marriage license, driver's license, SSN card, passport, etc.) to:
Beth Hartmann
College of Medicine Registrar
800 Rose St., MN-104
Lexington, KY  40536-0298
med.registrar@uky.edu
(859) 323-2456
(859) 323-4094 (fax)