Dear Central Alumnus,
Thank you for advising the Office of Development and Alumni Affairs at Central Connecticut State
University of your change of name. I appreciate hearing from you, as your update enables us to
effectively communicate with you about all the exciting things happening at Central.
University policy now dictates proof of each name change. This measure was put into place to
minimize the occurrence of identity theft and fraud. Acceptable forms for proof of name change must
include your photo such as government issued documents like a state drivers license, state issued ID
card or U.S. passport. A CCSU ID card is not considered an acceptable form of proof of name
change. You only need to provide one item as proof.
Our goal is to ensure each record in our database is as accurate as possible while, at the same
time, protecting the integrity of that data to the best of our ability. Enclosed is a postage paid enve-
lope for you to return this letter along with a copy of an acceptable form of identification. Should you
have questions, please contact me directly at 860-832-1748 or email ratcliffejuv@ccsu.edu. I am
sorry for the inconvenience this may cause and hope to hear from you soon. Thank you for your un-
derstanding.
Sincerely,
Judy Ratcliffe ’85
Data Support Specialist
Enclosure
I request a name change from ________________________________________________________
to ______________________________________________________________________________
Address _________________________________________________________________________
Telephone _______________________________________________ Class Year _______________
I have included a copy of a government issued form of identification reflecting the name change noted
above which includes my photo.
Signature _____________________________________________
Date ___________________
Please return to: Central Connecticut State University - Office of Development & Alumni Affairs
161