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Address Change Packet

RETIREMENT SYSTEMS (select appropriate site)

STRS - Contact STRS for notification (Certificated staff)

SERS - Contact SERS for notification (Classified staff)

HEALTH INSURANCE SITES/FORMS (choose only if you have through NW)

Benelogic - Submit change request on website

CoreSource - complete new application form (if applicable)

VSP - complete new application form (if applicable)

TAX FORMS (please complete all)

W-4 Federal Tax Form

IT-4 State Tax Form

City (Municipality) Tax Form

School District Tax Form