EMPLOYEE - CHANGE OF NAME

* - Mandatory Field

Employee New Details

Title*

First Name*

Last Name*

NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

Your Former Name and Documentary Proof of Change

Title*

First Name*

Last Name*

Attachment Type

Other Attached Document

Change of Name Document*

If you require a residential (or duty) pass to be replaced please scan an image of it together with your proof of name change and attach as one document to this form.

All other passes must be returned to RST, using "signed for" delivery, before reissue - see additional information below.

Passport Name Details (Only complete if different from Employee Details)

Passport First Name

Passport Last Name

Additional Information

Any documents supplied that are not in English must be accompanied by an official translation
All cards and passes must be returned to RST (by "signed for" delivery) - to Rail Staff Travel, PO Box 72071, LONDON EC1P 1JD - for reissue in your new name

Residential and duty passes: please scan an image of the pass together with your proof of name change and attach as one document to this form. You will need to return your old residential or duty pass (by "signed for" delivery) once we have issued you with the new one
International travel: your FIP card must match your passport name, so only send this for updating if you are also changing your passport
Leisure travel: please return all cards and passes to RST (by “signed for” delivery) for reissue in your new name.

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I request that my name is changed as stated above and will return my current rail staff travel facilities by "signed for" delivery to be reissued.
I understand that I am responsible for the correct use of my rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use which can be found at www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I further understand that Rail Staff Travel’s privacy information is available online at www.raildeliverygroup.com/rst/rst-privacy and that I have read it.
If I am in any doubt about eligibility, I understand that I MUST check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself.

Signed by Employee:

Date:

Form - Employee Name Change - XX25 - This form is not valid for use after 31/03/2021

Once completed save the form with a filename of “YourLastname_YourFirstname_XX25_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point