Name Discrepancy

Clarify differences in how your name appears across various official documents such as your birth certificate, Social Security card, driver's license, passport, or other government-issued records. This affidavit confirms that the different name variations refer to the same individual.

Full Legal Name (as per state-issued photo ID) *

State ID / Driver's License Number *

Name as it Appears Incorrectly *

Document with Incorrect Name *

Reason for Discrepancy *

Supporting Documents Available

Birth certificate Marriage certificate Social Security card School records Court order Other

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