(Dec 2016)
Human Resources- Payroll
3359 Mississauga Road
Academic Annex, Lower Level, Room 112
Mississauga, Ontario, L5L 1C6
Address Change Form
First Name
Last Name
Personnel No
Effective Date
U of T Phone No
U of T Email Address
Home Address and Telephone
Mailing Address
Apt/Unit/Suite No
Postal Code
Phone Number (1) Phone Number (2)
Emergency Contact
First Name Last Name Phone Number
Signature Date
Please forward a completed form to Human Resources (Academic Annex Room 112)
Incomplete form/incorrect information will delay processing
Updates can be processed online through ESS if preferred http://aws.utoronto.ca/services/employee-self-service-ess/
Employees enrolled with Green Shield will also need to complete an enrolment/change form to notify any changes
with benefits
click to sign
click to edit