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Name Change Form

You must record this change with the Department of Elementary and Secondary Education (DESE) before the EPS can record the change in our systems.

First and Last Name*

Answer Required

Employee ID Number*

Answer Required

Current Name*

First and last name

Answer Required

New Name*

Answer Required

Upload Supporting Documentation*

Contact Human Resources if you have any questions

Answer Required

Choose a file or drag it here.

Confirmation Email

Email Required