Full Text
SCHUYLER COUNTY…AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Address Change form 3-06 Lorry Johnson Personnel Officer SCHUYLER COUNTY CIVIL SERVICE DEPARTMENT 105 Ninth Street, Unit 21 Watkins Glen, NY 14891 (607) 535-8190 Fax: (607) 535-8193 E-Mail: [EMAIL REDACTED] APPLICANT CHANGE OF NAME OR ADDRESS FORM Applicant’s Name: Previous Name (if name has changed): Social Security Number: Previous Address: New Address: New Phone Number: Current: City or Village Town County School District Date: (Applicant)