American Express Name Change Form PDF Details

When life presents a reason for a name change, understanding the steps to update personal information with financial institutions becomes essential. For American Express cardholders in Canada, the Name Change Authorization Form is the first step toward ensuring that your credit or charge card reflects your new legal identity. Whether the name change follows a marriage, divorce, adoption, or court order, this form provides a direct pathway to update your account records.

The form asks for both your original and new names along with comprehensive account information. You will also need to provide supporting documentation issued by a provincial or territorial government authority. Accepted documents include marriage certificates, divorce decrees, and legal change-of-name certificates depending on the reason for your change. Both basic and supplementary card members must sign to authenticate the request.

Once completed, submit the form along with your supporting documents by fax or mail to Amex Bank of Canada. This two-step process keeps your account secure while ensuring your identity is properly verified throughout the update. If you need to understand the broader legal name change process, the petition for name change provides useful context on court procedures.

QuestionAnswer
Form NameAmerican Express Name Change Form
Form Length2 pages
Fillable?Yes
Fillable fields19
Avg. time to fill out4 min 18 sec
Other namesexpress name form, american express com name, americanexpress com name, name change form amex canada

Form Preview Example

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

Account Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Who is the name change request for?

 

[ ] Basic Cardmember

BASIC CARDMEMBER INFORMATION

Original Name:

________________________________________________________

 

(First Name)

(Middle Initial)

(Last Name)

Name Changed to:

________________________________________________________

 

(First Name)

(Middle Initial)

(Last Name)

Address: _____________________________________________________________________

(Street Name)

______________________________________________________________________________

(City)(Province)(Postal Code)

SUPPLEMENTARY CARDMEMBER INFORMATION (if applicable)

Original Name:

_______________________________________________________

 

(First Name)

(Middle Initial)

(Last Name)

Name Changed to:

_______________________________________________________

 

(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

 

Divorce Decree

Confirms a change in your family name.

Legal Change-of-Name

Certificate or court order issued in accordance with a provincial change-

Document

of-name act or similar legislation.

 

 

Adoption Order

Certified by a Canadian Court (applies to adoptions in Canada only).

 

 

Designated Change

Any valid government issued identification evidencing the name change

(example: adding “Dr.” to name)

(i.e., Driver’s License)

 

 

Hyphenated Names

To add or drop a hyphenated name, any valid government issued

(example: Jane Smith-Doe

identification evidencing the name change is required (i.e., Driver’s

 

Licence).

 

 

Please fax or mail completed forms along with supporting documentation to:

AMEX BANK OF CANADA

101 MCNABB ST

MARKHAM, ONTARIO. L3R4H8

MAIL CODE 62-02-49

FAX # 905-474-8982

How to Edit American Express Name Change Form Online for Free

  1. Open the form. Click the orange button above to launch the American Express Name Change Form in the online PDF editor.
  2. Enter your account details. Fill in your current account number, account type, and the name currently on the account as it appears on your card.
  3. Provide your new legal name. Enter your new name exactly as it appears on your supporting document.
  4. Select your documentation type. Check the box that matches your document type: a marriage certificate, divorce decree, or a legal change-of-name certificate.
  5. Sign the form. Both basic and supplementary card members must sign where indicated to authorize the name change request.
  6. Download and submit. Save the completed form as a PDF, then mail or fax it to American Express with a copy of your supporting document.

Frequently Asked Questions

What documents do I need to submit with the American Express name change form?
You must include an official document proving your name change. Accepted options are a marriage certificate, a divorce decree, or a legal change-of-name certificate. All documents must be issued by a recognized government authority.

How long does American Express take to process a name change?
Processing times vary, but most requests are completed within 7 to 14 business days after Amex receives your completed form and documentation.

Do supplementary card members also need to fill out the form?
Yes. If a supplementary card member needs a name change, they must also sign the form. Each person requesting a name change completes the relevant fields and signs where required.

Can I fill out the American Express name change form online?
Yes. Use the FormsPal editor above to fill in the form online. Once complete, download the PDF and mail or fax it to American Express along with your supporting documents.

What if I need to change my address too?
If your name and address are both changing, you can use the address and name change form to update both at the same time. This saves you a separate submission step.

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