Forms → Staff → Personnel → Change in Personal Information
Form number: 445-1
Audience: MCPS Staff
Last revised: August 2016
Form 445-1 - Change in Personal Information
INSTRUCTIONS FOR EMPLOYEES/RETIREES: Please type or print. Use this form to change or correct your name, title, date of birth, address, and/or Social Security number (only after receipt of your new official Social Security card). Complete this form, sign, and return it to the Employee and Retiree Service Center (ERSC). You may fax the form to 301-279-3642/301-279-3651 or e-mail an electronically signed Adobe PDF file to ERSC@mcpsmd.org.
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