About this form: This form is used by Human Resources to collect new or changing important personal 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the 'Employee Status' section. Select whether you are a current employee or a new hire, and provide your Personnel Number and Social Security Number if applicable.
3. In the 'Personal Information' section, enter your name exactly as it appears on your social security card, along with your marital status, address, phone number, and date of birth.
4. If you have prior state service, indicate this in the 'Prior State Service Information' section by providing the start and end dates along with the agency name.
5. Complete the 'Education Information' section by selecting your highest level of education and providing details about schools attended.
6. If applicable, fill out the 'Professional License(s) Information' section with any relevant licenses or certifications.
7. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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