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As481 (Louisiana State University)

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Rev 07/07
Louisiana State University
Office of Accounting Services
Payroll
204 Thomas Boyd Hall
CHANGE OF ADDRESS AS481
Employee ___________________________ ______________________________ ________
Last First MI
LSU ID ___________________________
Type of Employee
Academic (9 mos) Salary / Academic / GA (12 mos) Wage / Contingent Non-employee
Please change my address on the payroll files to:
_____________________________________________
_____________________________________________
_____________________________________________
_______________________________________________ _______________________
Signature Date
Note: This address change affects the HOME address on the LSU Directory. It does not necessarily update all required
systems or records. Your W-2 form is sent to the latest address on the Payroll files. It is especially important to
provide a forwarding address when leaving LSU.
-------------------------------------------------------------------------------------------------------------------------------------------------------
FOR ACCOUNTING SERVICES USE ONLY
Processed by ___________________________________ Date ______________________
11/12
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Completed 21 July 2020

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