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ERFC29A Name Address Change Form for Inactive Members

ERFC29A Name Address Change Form for Inactive Members 2025

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The document is a Name/Address Change Form for inactive members of the Educational Employees’ Supplementary Retirement System of Fairfax County (ERFC). It provides instructions for updating personal records, including requirements for legal proof in case of a name change, and emphasizes the need to submit original signed forms. The form also includes sections for providing new contact information and authorizing changes.

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Click ‘Get Form’ to open the ERFC29A Name Address Change Form in our editor.
Begin by indicating if this is a name change or a new address by checking the appropriate box. If it’s a name change, complete Lines 2 and 3 and attach legal proof.
Fill in your current first name, middle initial, last name, and suffix in Line 1. Ensure accuracy as this information is crucial for your records.
If applicable, provide your former name in Line 2. This is essential for processing your name change request.
In Lines 4 through 7, enter your Social Security Number, email address, new home telephone number, and new street address including city, state, and zip code.
If you are changing your address, complete Line 7 with your former street address.
Finally, sign and date the form in the designated area to authorize the changes before submitting it back to ERFC.

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