Personal Change Notice Form

Who may use this Personal Change Notice Form?

This form may be used for address changes by all former MIT Faculty and Staff; all MIT and Lincoln Lab retirees; and all MIT and Lincoln Lab employees on Long Term Disability Leave.

Active MIT Employees can make changes to their MIT address, home address, phone and e-mail address through SAPweb's Self Service Site. For a name change by an active MIT employee, click here.

Who may NOT use this Personal Change Notice Form?

HR does not maintain any records of student employees; employees paid by MITemps; or regular active Lincoln Lab Staff. For changes, Undergraduate and graduate students (including Research and Teaching Assistants) need to update their address information on WebSIS at http://student.mit.edu. To change name or social security number, contact the Registrar's Office, 5-119. MITemps employees should contact their department Administrative Officer. Regular active Lincoln Lab Staff should contact the Lincoln Laboratory Human Resources Department.

Please read the instructions before submitting a change:

• Simply type the appropriate information in the fields below.
• Active MIT Employees can make changes to their MIT address, home address, phone and e-mail address through SAPweb's Self Service Site.
• When you click the "submit" button, your request will be sent to HRIS, E19-215.
• The Payroll, Benefits, and Medical offices will be notified by HRIS upon receipt.
• MIT Credit Union members should additionally notify the Credit Union in 700 Technology Square (NE48), 617-253-2845, of any personal changes.
  
  

Personal Change Notice Form A. Current Information [Required - Section A must be completed]: Please note: Department affiliation, Employment Status or Title cannot be updated using this form. Please contact the appropriate Department's Administrative Officer for these questions. First Name Middle Initial Last Name Email Address MIT ID Number Department Employment Status Please choose Retired Employee Lincoln Lab Retiree/Terminated Long Term Disability Leave Terminated Employee B. Information to be changed: In this section, fill out your NEW personal information First Name Middle Initial Last Name MIT Address MIT Phone Home Address Zip Code Home Phone Email Address (limit one)