Committee Name Change Form
Submit this form to request an official update to your committee's name. Please provide all required information to ensure prompt processing.
Committee Identification Number or Reference
*
Current Committee Name
*
Requested New Committee Name
*
Type of Committee
*
Please Select
Standing Committee
Ad Hoc Committee
Subcommittee
Task Force
Other
Associated Organization or Department
*
Reason for Name Change
*
Proposed Effective Date of Name Change
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact Person Full Name
*
First Name
Last Name
Contact Person Email Address
*
example@example.com
Contact Person Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Committee Name Change
Should be Empty: