Name and Address Change

Form

Who Should Complete

All staff members

Certified staff members participating in the Teachers Retirement System

Certified staff members participating in the Teachers Retirement System

Classified staff member participating in the Illinois Municipal Retirement System

*Please see special/instructions below

*ISBE Form 73-71: Any licensed staff wishing to request a name change on their Illinois license should download ISBE Form 73-71 and send to ISBE along with a copy of their driver's license, marriage certificate, or another other official document to verify the name change. Address changes to certification files can be made through the Educator Certification System (ECS).

Questions? Contact Shelly in Human Resources at smurphy@emsd37.org.

309-792-2887 ext. 312