Alabama A&M University Demographic Data Change Authorization Form
Office of Human Resources Rev. March 2016
Date A-Number:
Name: Signature:
Faculty [ ] Staff [ ] Graduate Assistant [ ]
- - - -
Current Social Security Number New Social Security Number
Complete and return the form with required attachments to the Alabama A&M University
Office of Human Resources via U.S. Mail, Facsimile, or hand delivery at 4101 Meridian Street.
(a)
Social Security Card is required to avoid social security mis-match with the US Government. For more information, reference www.ssa.gov/employer/ssnvspamphlet.htm
DEMOGRAPHIC CHANGE AUTHORIZATION FORM
Alabama Agricultural and Mechanical University
Office of Human Resources
Mailing Address: Human Resources, Alabama A&M University, Normal, AL 35762
Phone: 256.372.5835 Fax: 256.372.5881
SOCIAL SECURITY NUMBER CHANGE
A copy of Social Security Card
(a)
bearing your current name and number
must be presented to Office of Human Resources Personnel or attached to this form.
