Indicate below the document(s) you are attaching as proof of your legal name change.
Notary: this form must be acknowledged before a Notary Public or Commissioner of Deeds.
Where to send: mail the completed form to 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 together with the required proof.
Address: if the address you provide on this form is different from your address in the system, the new address will become your official address in the records.
Call Center: should you have any questions, contact the Call Center at 347-643-3000.
| Question | Answer |
|---|---|
| Form Name | Form F291 |
| Form Length | 1 page |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min |
| Edition | R12/16 |
| Issuing agency | NYCERS |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | F291, 291, Form 291, Form F291, NYCERS name change, Name Change Application |
| Official source | Form F291 (R12/16), NYCERS |
Nycers Form F291 isn’t the one you’re looking for?