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E-mail Us

Please e-mail us using this form, or you can use this e-mail address: to send e-mail using your own e-mail program.

Your Name:

Your E-mail:



Leave this empty!!! If you see it

Note: All fields on this form are required.

Employee Information Change Form

Information submitted here will be sent via email to HR staff.

Employee Information (* Required fields)
Employee Name*   SID Number*:  

Campus email*

Name Change: Yes+ Previous Name:
 +To complete a name change you must bring your new social security card to the HR Office, and complete new forms: W4, DRS Name Change and DRS Beneficiary Designation (found on HR Forms webpage).
Emergency Contact
Relation: Phone Number:
Home Changes
Home address:

Line 1:

Line 2:

City: Zip Code:
Mailing address (if different)
Line 1:

Line 2:


Zip Code:


Home Phone:

Office Changes
Building/Room: Mailstop: