Please select the appropriate checkbox for each category that may need to be
changed. Your correction request will be submitted to the appropriate division
coordinator. If you include requestor information, the division coordinator
may contact you for more information. Please allow 2-4 weeks for your request to be reviewed.
Requests for changes to Name, Job Title or Department/Program/Area need to be submitted directly to Stephany Rodriguez in Human Resources via email at firstname.lastname@example.org.