Legal Name Change
For full instructions for completing this form, please click here: https://ucpconnect.org/knowledge/legal-name-change-request/
UCP has adopted the following requirements for all employees who are changing their legal name. This will keep us in compliance with current Federal laws, as set forth by the US Citizenship and Immigration Services (USCIS) as well as allow for better recordkeeping practices. To change your legal name with UCP, you must complete this form by following the steps below:
What is your full name (first and last) that is currently on file with the company:
1. Current First and Last Name on File with UCP:
2. What is your email address:
3. What is your current UCP Department?
What is your new name? Please provide ONLY the name you are changing.
4a. First Name (leave blank if you are NOT changing your first name):
4b. Last Name (leave blank if you are NOT changing your last name):
Upload Instructions
Select Choose File to open your device's file folder and select the appropriate file for each section below.
Allowed file extensions are jpg, jpeg, jpe, gif, png, or pdf. The maximum file size is 256 M. Motion photos will NOT upload. Please take a static screenshot of motion photos or manually save as one of the supported file types.
Upload your supporting Legal Documentation with your new name. Upload one.
5. Your new signed Social Security Card, State-Issued Driver's License Card, or State-Issued State Identification Card:
Upload your Form W-4 with your new name. If your upload has multiple pages, please add the additional pages at the bottom of this form.
6. Form W-4:
Upload your CA Withholding Form with your new name. If your upload has multiple pages, please add them at the bottom of this form.
7. CA DE 4 - Employee's Withholding Allowance Certificate:
Additional Uploads (optional)
If your forms above had multiple pages, please upload the additional pages here. Please name your files, if possible.
8. Notify your manager if you have not done so already, so they may note the change in their records.
After you sign and submit this form and its attached files, HR will check all information provided to ensure it all matches and is accurate before our Finance department updates the payroll system. Please note that it can take up to 5 business days for UCP to process your changes before they are reflected in our systems.
Click "Sign Here" below and follow the instructions on screen to submit your form. You will receive an email after your form is submitted. If you do not receive an email, your form was not submitted correctly.
DO NOT EXIT THE PAGE WHILE YOUR FORM AND DOCUMENTS ARE SUBMITTING.
