Change of Name Form• Please write inside the boxes in BLOCK CAPITALS as this will help us to process your request faster. Please return the

completed form to: Barclays Bank, Leicester, LE87 2BB

• If your address and/or any of your contact details have changed, you must also complete a ‘Change of Address’ form

• This form will change your records on any personal Barclays Bank Current, Savings and Loan accounts only. If you wish

to change your name on any other Barclays product holdings, please use the information provided on Page 2.

Your Details as currently held with Barclays

Title Mr Mrs Miss Ms

Other (Specify)

Surname

First Name(s)

Account number

Sort code - -

Your new details

Title Mr Mrs Miss Ms

Other (Specify) Surname

First name(s)

Reason for name changePlease mark X in ONE box to indicate the reason for your name change and provide a certified copy of the document

stated next to that box. Please don’t send original copies as we can’t guarantee that the document will be returned.

Marriage/Civil Partnership Marriage/Civil Partnership Certficate

Divorce/Dissolved Civil Partnership Decree Absolute/Dissolution Order

Deed Poll/Statutory Declaration Deed Poll/Statutory Declaration

Other Please specify the reason

Card/Chequebook detailsNew Card(s) and chequebook(s) will be issued where applicable, your existing PIN(s) will continue to work with your new card(s).

The name on your card(s) and chequebook(s) will consist of your title, initials and surname. If you would like your forename

on the card(s) and chequebook(s) please tick this box

Declaration and SignaturesI declare that I have changed my name as detailed above, in my future dealings with Barclays I will only use my new name.

Use of my information

I understand that the information I have provided on this form will be used by you to update all of my details on your

records. This information, including any previous and subsequent names, may be made available to the credit reference

agencies and other lenders. I acknowledge that information, including any previous and subsequent names, which is

provided to you and/or the credit reference agencies, about me and those with whom I am linked financially may be used

by Barclays and other companies if credit decisions are made about me. Any of this information may also be used for

identification purposes, debt tracing and the prevention of money laundering as well as the management of my account.

By signing this form, I agree that you can use my information in this way.

Previous Signature (please sign INSIDE the box)

Date D D / M M / Y Y Y Y

New Signature (please sign INSIDE the box)

If you wish to change your name on any of your other Barclays product holdings, please use the information below:

If you have Then If you have Then

Barclays Mortgages

Call 0800 0224022 (Monday to

Friday, 8.30am to 5.30pm,

Saturday 9am to 1pm)

Barclaycard Send a copy of this form and your

certified document to:

Barclaycard

Customer Relations Department

PO Box 9131

51 Saffron Road

Leicester

LE18 9DE

Home Insurance Depending on who the policy is with:

Aviva Home Insurance –

Policy codes starting MPH

call 08000513533, Policy codes

starting MHO/BHI/BCI/WCI

call 08000150246 (Monday to Friday

8am to 10pm, Saturday 8am to 6pm,

Sunday and Bank Holidays 10am

to 4pm)

Finer Home Insurance – call Aviva

08000510693 (Monday to Friday

8am to 8pm, Saturday 8am to 1pm)

Premium Home Insurance by Hiscox – call 08007813065

(Monday to Friday 8am to 7pm,

Saturday 9am to 2pm)

Life Insurance Depending on who the policy is

with, either:

Call Aviva 0800 0466171 (Monday

to Friday 8am to 8pm, Saturday

8am to 6pm, Sunday and Bank

Holidays 10am to 4pm)

Call Legal & General 03700 104080

(Monday to Friday 8.30am to 6pm,

Saturday 9am-1pm)

Travel Insurance Call Cigna 0330 1026417 (Monday to

Friday 8am to 10pm, Saturday 8am to

6pm, Sunday 10am to 4pm)

(Note- This is only for standalone

travel policies.

If your cover is through a Travel

Pack or Travel Plus Pack which is

added to your current account, then

completing this form will change

your address on any current account

Packs that you hold.)

Payment Protection Insurance/Barclays Income Insurance

Call Monument Insurance DAC

(formerly Barclays Insurance Dublin/

BID) on 0800 0561414 (Monday to

Friday 9am to 5.30pm)

Foreign Currency, Euro Accounts

Call 0345 975 7575 (Monday to

Friday 8am to 6pm)

If you are a Barclays Wealth or Private

Banking customer please speak to

your Banker or servicing team directly.

Barclays Bank UK PLC is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (Financial Services Register No. 759676).

Registered in England. Registered No. 9740322. Registered Office: 1 Churchill Place, London E14 5HP.

Item Ref: IBIM7509. January 2019