Senior K

This form will update your address information at BOTH the RetireE-Directory and at the PSC for benefits programs. Please note that submitting this form will update ALL of your benefits information. Please allow 2-3 weeks for updates to reach all benefits providers and 48 hours for your information to be updated online in the E-Directory.

Please enter your NEW address information below
	Your Name
	Spouse's Name
	Telephone Number
	E-mail Address
	Street Address
	City, State, Zip