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)