<p> EAST BATON ROUGE PARISH SCHOOL SYSTEM OFFICE OF HUMAN RESOURCES NAME/ADDRESS CHANGE FORM</p><p>Name of Employee: ______</p><p>Employee Number: ______</p><p>Work Location: ______</p><p>Position: ______</p><p>PREVIOUS ADDRESS</p><p>Street: ______</p><p>City, State, Zip Code: ______</p><p>Area Code/Phone Number: ______</p><p>NEW ADDRESS</p><p>Street: ______</p><p>City, State, Zip Code: ______</p><p>Area Code/Phone Number: ______</p><p>NAME CHANGE (PLEASE ATTACH A COPY OF YOUR SOCIAL SECURITY CARD) NAME BELOW MUST MATCH YOUR NAME AS IT APPEARS ON THE SOCIAL SECURITY CARD</p><p>First Name: From:______To:______</p><p>Middle Initial/Name: From:______To:______</p><p>Last Name: From:______To:______</p><p>MARITAL STATUS CHANGE (IF APPLICABLE)</p><p>Married ______Single ______Widowed ______Divorced ______</p><p>Signature:______Date:______</p><p>OHR Revised 2006 03 </p>