Forms → Staff → Personnel → Change in Personal Information for MCPS Retirees and Former Employees
Form number: 445-1B
Audience: MCPS Retirees
Last revised: November 2019
INSTRUCTIONS: Please type or print. Use this form to change or correct your name, title, date of birth, address, and/or Social Security number (only after receipt of your new official Social Security card). Complete this form, sign, and return it to the Employee and Retiree Service Center (ERSC). You may fax the form to 301-279-3642/301-279-3651 or e-mail an electronically signed Adobe PDF file to ERSC@mcpsmd.org.
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