Change of Information Form
Change of Information Form

Change of Information Form:

Please fill out this form when any of your pertinent personnel information will be changing or has changed. Submitted forms are automatically emailed to the Human Resources Department. Forms are kept confidential.

*

First Name

Middle Initial

*

Last Name

*

Building

Use your Ctrl & Shift keys to select multiples.
*

Assignment

*

Effective Date of Change (use MM/DD/YYYY format)

*

Type of Change

(1 required)
Name Change
Marital Status Change
Address Change
Phone Number Change
Emergency Contact Addition

New Last Name

Marital Status Change (please complete a new W4 form)

Married
Single

New Address

New Home/Cell Phone Number with Area Code

Emergency Contact Add/Change

Comments

After entering your BDUSD email address, the security code and clicking "Submit" below, you will receive a confirmation email containing all of the information you entered. If you don't receive a confirmation email, please check for error messages listed at the top of the form and re-submit it. If you need further help, please contact Stacy Van Buren at ext. 1130.

* Enter Your Email Address:

Type in the text that you see above:

  

  • Beaver Dam Unified School District
  • 705 McKinley Street Beaver Dam, WI 53916
  • Phone: 920 885-7300