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Kellogg Community Credit Union
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name change

To notify us of a name change, complete the form below and submit required documentation.

If this form is submitted to KCCU by mail or through our secure online Send my Docs application from our website, then the form must be signed and stamped by a notary.

 Name Change Form

3 ways to submit your completed form:

Option 1: Drop it off at any of our branch locations.

Option 2: Mail it to: KCCU, PO Box 140, Battle Creek, MI 49016 – Requires signature and stamp by notary.

Option 3: Submit it through Send My Docs in the Complete Forms area of our website – Requires signature and stamp by notary.

things to know...

  • Forms submitted by mail or online, must be signed and stamped by a notary.
  • Please provide a legible copy of your new driver’s license or marriage certificate to show proof of name change.