Per Policy 1.9 Personal Information

Employees are responsible to immediately notify their supervisor or HR about any personal changes, including but not limited to changes in name, home addresses, telephone numbers, number of dependents, beneficiaries, emergency contact, marital status, military or draft status, driving record or driver’s license status when operating an SSA vehicle or other personal information so that the Company may keep personnel records up-to-date and communicate with employees as needed.

Complete the form below to change your address, name, phone number, emergency contact, marital status or other information in your employee record.

This form changes your company record in ADP.  If you are currently enrolled to the company healthcare plan and want to make changes on your healthcare record, please go HERE to make changes to your current healthcare record or enroll or cancel due to Qualifying Life Event