Change Personal Information

Employee Change Information Request
PLEASE NOTE THAT ALL FIELDS ARE REQUIRED - WHETHER YOU ARE CHANGING THAT INFORMATION OR NOT.
 
(* To Change your legal name, HR must see your updated Social Security card.) Thank you!
 
Date
 
Campus or Department
 
Position
 
Driver's License State and Number
 
Legal First Name and Middle Name
 
Legal Last Name
 
Go by Name
 
Maiden Name
 
Mailing Address
 
City
 
State
 
Zip Code
 
Phone Number
 
Cell or Alternate Phone Number
 
Date of Birth
mm/dd/yyyy
 
Name of Person to contact in case of Emergency
 
Relationship
 
Emergency Contact Phone Number
 
Emergency Contact Alternate Phone

 

Texas Public Information Act

The Texas Public Information Act designates the employee address, telephone number, social security number and information that reveals whether you have family members as public information. However, if you wish to withhold this information you may do so by indicating below what you want withheld.

Withhold all information
Address
Phone Number
Social Security #
Family member Information
Emergency contact information


Security Measure
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