BAKERSFIELD CITY SCHOOL DISTRICT
Education Center - 1300 Baker Street
Bakersfield, California 93305
Human Resources
CHANGE OF ADDRESS, TELEPHONE OR NAME
Please make the following changes in your records: Address Name Telephone
__________________________________________________________
__________________________
First Name Middle Name Last Name Employee I.D. #
(Obtain ID # from your site secretary)
___________________________________________ ________________________________________
School or Department Position
New Address ___________________________________________________________________________
Street
City _____________________________________ State______________ Zip _______________________
New Telephone # __________________________ New Cell Phone #_____________________________
Change of Name _________________________________________________________________________
Please update network and email account with new name change.
To ensure accurate payroll records, name changes must be confirmed by a copy of a social security
card with your new name. If you have not yet received your new social security card, be sure to provide
a copy to the Payroll Department as soon as possible.
Signature _________________________________________ Date _____________________________
PLEASE FORWARD TO HUMAN RESOURCES
FOR OFFICE USE:
R
ecorded ______________ __________
SmartFind Health Benefits IT Payroll
Date Initials
3/20
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