Walla Walla Community College
500 Tausick Way
Walla Walla, WA 99362
Address Change Form
Employee type:
Student Hourly Classified PT Faculty
FT Faculty Exempt/Admin
New Address
SID # __________________________________
Last Name __________________________________
First Name & M.I. __________________________________
Street __________________________________
City __________________________________
State & ZIP __________________________________
Phone # __________________________________
Do you wish to receive your W-2 at the above address? Yes No
Complete below if you checked No
Street ___________________________________
City ___________________________________
State & Zip ___________________________________
Signature _____________________________ Date ________________
