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IUPUI Change of Address Form

Type

Status

First Name 

Last Name

Last 4 Digits of SSN

Employee ID


Found at the top of your paycheck stub

E-Mail Address

@.edu
A confirmation will be sent to you via email.

  

NOTE:
If you only want to update your Campus Address, only complete the Campus Address Change section.

Campus Address Change
OLD CAMPUS ADDRESS: NEW CAMPUS ADDRESS:
Building Building
Room Room
Campus Phone # () - - Campus Phone # () - -

Home Address Change

OLD HOME ADDRESS:

NEW HOME ADDRESS:

Address

Address
City City

State

State

Zip Code Zip Code
Country

Country
Phone Number () - Phone Number () -