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illustration of payroll forms

Name/Address Change

Please complete the Name/Address change form to update your record with Human Resources, Benefits and Payroll. Forward completed hardcopy of form to Payroll Department (HAB 301).

» Name/Address Change Form*

For name change only please include a copy of Social Security card with your new name, and complete new tax forms: W-4 and IT-2104.*

You will also need to notify your retirement system, the Credit Union and your Union (if appropriate). The address for the retirement systems are as follows:

NYS Employees' Retirement System
110 State Street
Albany, NY 12244

ORP: TIAA/CREF
PO Box 1259
Charlotte, NC 28201

NYS Teachers' Retirement System
10 Corporate Woods Drive
Albany, NY 12211

The addresses for the Benefits Funds are as follows:

CSEA Employee Benefit Fund
P.O. Box 516
Latham, NY 12110-0516

UUP Benefit Fund
PO Box 15143
Albany, NY 12212-5143



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