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STATUS CHANGE FORM Name Check One: Blind ID# Full time Part time Student Worker Complete this section for employees who are resigning or have been terminated. Resignation Termination Last Day of Employment
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What is status change form?
The status change form is a document used to report any changes in status or information.
Who is required to file status change form?
Anyone who experiences a change in status or information must file the status change form.
How to fill out status change form?
The status change form can be filled out online or submitted in person at the appropriate agency.
What is the purpose of status change form?
The purpose of the status change form is to ensure that all relevant information is up to date and accurate.
What information must be reported on status change form?
Information such as name, address, contact information, and any changes in status or circumstances must be reported on the status change form.
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