College of Central Florida
Personnel Info Change Form

Please be advised of the following changes:

NAME:

From:
To:

(If legal name changes, please forward a copy of new social security card and drivers license). For legal reasons, name will not be changed without SS proof - IRS Rules

ADDRESS:

Street Address:
Mailing Address:
City, State:
Zip Code:

PHONE:

New Phone:

Do you have (check applicable boxes) :

* Name change REQUIRES a new Beneficiary Designation Form which reflects correct name.  Call Human Resources for a form.

OTHER: