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HR - Employee Name/Address Change

Please choose one*
Old or Unchanging Name*
Do you have an updated Social Security Card with your new name?*

A copy of your updated Social Security Card MUST be on file with Human Resources prior to this name change taking effect in our system.

New Name*
NEW Address*
Today's Date


Change(s) Approved
Verified New Name
Verified New Address

Technology- Name change

The name has been changed here:*
Date of change

Unity Name Change

All fields in Unity have been adjusted*
The phone display has been changed in Call Manager
if applicable

Information Services

The MiStar account name has been changed*


This person's name has been changed in Payroll*

Fringe Benefits

This person's name has been changed in Fringe Benefits*
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