Change of Employee Information

Oakland Employee ID Number

Employee Name as documented in HR/Payroll (i.e. in most cases this is your legal name, not a nickname)

Department

Please advise if you are a benefited employee so we can ensure any changes are communicated to our benefits vendors (Medical/Dental/Vision/etc) if applicable.

Effective Date of Change

Type of Change

If you are a manager submitting this on behalf of your employee, please provide your name

Email for Communication

Please provide the email you would like further communications to be sent to should we need to reach out to you.

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