When life presents a reason for a name change, understanding the process to update personal information with financial institutions becomes crucial. For American Express cardholders in Canada, the Name Change Authorization Form is the first step towards ensuring that their credit or charge card reflects their new identity. Whether due to marriage, divorce, adoption, or any legal name change, this form, detailed in its request for both original and new names along with comprehensive account information, embodies a straightforward pathway to update records. With a clear requirement for supporting documentation issued by provincial or territorial government authorities to evidence the name change, the procedure underscores the importance of official validation. The form sensitively caters to both basic and supplementary card members, indicating a requirement for signatures to authenticate the request. Additionally, it educates on the types of documents deemed acceptable for different scenarios, from marriage certificates to legal change-of-name certificates. Submission instructions locate at the form's conclusion, guiding the user to either fax or mail their application, accompanied by the necessary documentary proof, to Amex Bank of Canada. This approach not only facilitates a smooth transition for individuals undergoing a significant life event but also demonstrates American Express’s commitment to customer service and security.
| Question | Answer |
|---|---|
| Form Name | American Express Name Change Form |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 19 |
| Avg. time to fill out | 4 min 18 sec |
| Other names | express name form, american express com name, americanexpress com name, name change form amex canada |
NAME CHANGE AUTHORIZATION FORM
Please complete all applicable fields and return the form to the address listed at the bottom of this page. Also, please be sure to include a copy of the supporting document(s) issued by a provincial or territorial government authority in Canada evidencing the name change. For examples of supporting documents please see back page. You must complete a separate form for each account affected by the name change. Forms may be submitted together with one copy of the supporting documentation.
ACCOUNT INFORMATION
Account Type: |
[ ] Credit or Charge Card |
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Account Number: |
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Who is the name change request for? |
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[ ] Basic Cardmember |
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BASIC CARDMEMBER INFORMATION
Original Name: |
________________________________________________________ |
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(First Name) |
(Middle Initial) |
(Last Name) |
Name Changed to: |
________________________________________________________ |
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(First Name) |
(Middle Initial) |
(Last Name) |
Address: _____________________________________________________________________
(Street Name)
______________________________________________________________________________
(City)(Province)(Postal Code)
SUPPLEMENTARY CARDMEMBER INFORMATION (if applicable)
Original Name: |
_______________________________________________________ |
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(First Name) |
(Middle Initial) |
(Last Name) |
Name Changed to: |
_______________________________________________________ |
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(First Name) |
(Middle Initial) |
(Last Name) |
SIGNATURES
I certify that the attached document(s) are true copies of the original(s), that my name has changed as set out above, and I request that Amex Bank of Canada update its records and, if applicable, issue replacement Card(s).
The Basic Cardmember’s signature is required to change any account information. If the name change is for a Supplementary Cardmember, both Basic and Supplementary Cardmember signatures are required.
______________________________ |
______________________________ |
________ |
Basic Cardmember Signature (Before Change) |
Basic Cardmember Signature (After Change) |
Date |
______________________________ |
______________________________ |
________ |
Supplementary Cardmember Signature (Before Change) |
Supplementary Cardmember Signature (After Change) |
Date |
NAME CHANGE AUTHORIZATION FORM
EXAMPLES OF NAME CHANGES AND REQUIRED DOCUMENTATION
You will need to submit one or more of these supporting documents with your application, if required.
Marriage Certificate or Marriage |
Confirms your current family name. |
Registration |
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Divorce Decree |
Confirms a change in your family name. |
Legal |
Certificate or court order issued in accordance with a provincial change- |
Document |
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Adoption Order |
Certified by a Canadian Court (applies to adoptions in Canada only). |
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Designated Change |
Any valid government issued identification evidencing the name change |
(example: adding “Dr.” to name) |
(i.e., Driver’s License) |
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Hyphenated Names |
To add or drop a hyphenated name, any valid government issued |
(example: Jane |
identification evidencing the name change is required (i.e., Driver’s |
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Licence). |
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Please fax or mail completed forms along with supporting documentation to:
AMEX BANK OF CANADA
101 MCNABB ST
MARKHAM, ONTARIO. L3R4H8
MAIL CODE
FAX #