On-Campus Office Information Change Request Form

For SHRA (SHRA) permanent and EHRA (EHRA) Non-Faculty employees use only. This online web form is used to change the employee’s on-campus office address and/or telephone information. All other address or contact information changes should be managed through UNCGenie. Once submitted, this form is automatically routed to Human Resources for processing. Please allow up to 48 business hours for the requested changes to be effective. If you have any questions regarding this form or process, please contact our Human Resources Receptionist at 336-334-5009 for assistance.

Employee Information
Employee ID*
Full Name*
First Middle Last
Prior Address
Previous Department*
Previous Building Name*
Previous Room Number*
Previous Phone Number*
New Address
New Department*
New Building Name*
New Room Number*
New Phone Number*
Submission Verification
Effective Date*
MM slash DD slash YYYY
Comments
Requestor Email (UNCG Only)*
Phone
This field is for validation purposes and should be left unchanged.

Human Resources

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Human Resources

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On-Campus Office Information Change Request Form

On-Campus Office Information Change Request Form

Employee Information

Prior Address

New Address

Submission Verification