Human Resources Data Update

(Please review your Departments Information via this link prior to submitting this form)

Department's submission of Employees contact information for update in CX and the departments websites.

Official Name of Department or Office*
Department Head/Chair*
Name Official Title
Number of Employees in Department*
Please list all current department employees and their official titles:*
Use the "+" icon on the right to add additional rows.
Name Official Title
Please list any department employee listed on the employee directory who needs to be removed:
Use the "+" icon on the right to add additional rows.
Name Reason
Is the employee contact information on your website correct?*
Phone, email address
- Yes
- No
Please list below the information that needs to be updated:*
Use the "+" icon on the right to add additional rows.
Name Change
Name of person submitting form and who HR can contact should we have any questions:*
First Last
Email*
Phone
Email
This field is for validation purposes and should be left unchanged.

Name	Official Title

Name	Reason

Name	Change