subject_line

Wakefield Public Schools

Employee Change of - Name/Address Form

Employee Number *

Effective as of: * +

What is Changing: *

Name **

Address

Phone #

School: *

Dolbeare Elementary

Doyle ECC

Galvin Middle School

Greenwood Elementary

Walton Elementary

Woodville

Wakefield High School

Post

Systemwide

**Please note that if you are changing your name, you will need to bring the payroll clerk a copy of your new Social Security Card, update your Tax forms (W4 & M4), and we'll need to re-verify your I9 form before your name will be changed in any systems. Thank you

Current Information:

First Name *

Last Name *

Previous Address 1 *

Previous City *

Previous State *

Previous Zip *

Email Address *

Updated Information:

New Name: *

New Address *

New City *

New State *

New Zip *

New Phone *

Type of Phone: *

New Phone 2

Type of Phone:

Please do not upload social security cards.