CHANGE OF NAME OR ADDRESS

Postal Facility                                                             Finance #
               

First Name                                                              MI                       Last Name
                   

Social Security # (Last 4 Digits)                   Pay Location #                                Craft
                                                                           

Old Address:                                                                                                    New Address:
                                      
                                      
                                                         
City                       State            Zip Code                                        City                              State       Zip Code

CHANGE OF NAME

Old Name                                                                                                      New Name

First Name                                                                                         First Name
                                        
MI                                                                                                     MI
                                                                                       
Last Name                                                                                        Last Name