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Change in Personal Information

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

  • This form is for: MCPS Staff
  • Form number: 445-1
  • Last revised: October 2011
Name
PDF Size
Form Number
Change in Personal Information 74 K 445-1

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

 

For questions regarding forms, call Harriet Potosky at (301) 279-3538.

Updated October 18, 2011 | Maintained by Missy Gumula
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