ContractName Change Agreement • October 22nd, 2014
Contract Type FiledOctober 22nd, 2014Name Change Agreement This form is only applicable to the following name changes: Marriage - last name and middle initial only (marriage license) Divorce - last name and middle initial only (divorce decree) Legal name change (must have accompanying court order) Misspelling (must show government-issued photo ID with correct spelling) If Agreement is not completed at a Cox Retail location then the form must be notarized before returning to Cox, either by US Mail toCox CommunicationsCustomer Care Support Specialists 8924 E. 35th St. N.Wichita, KS 67226 or Fax to: 877-873-5330. Change of account cannot be completed until the form and backup documentation is received by Coxcompleted, signed and if applicable notarized. The Account holder will provide backup documentation supporting the name change. Change will be completed within 5 business days from receipt of form and backup documentation. Today's Date Contact Telephone Number Cox Account NumberService Address Current Name of