275 George Street, Sydney, NS B1P 1J7 Tel: (902) 564-8293 Fax: (902) 563-4546 (Educational) Fax: (902)562-6814 (Finance) Fax: (902) 564-0123 (Human Resources) Website: www.cbv.ns.ca

CHANGE OF ADDRESS AND/OR NAME

NAME:

EMPLOYEE NUMBER:

NEW NAME:

NEW ADDRESS:

POSTAL CODE:

TELEPHONE NUMBER:

RETURN TO:

CAPE BRETON VICTORIA REGIONAL SCHOOL BOARD HUMAN RESOURCE DEPARTMENT CENTRAL ADMINISTRATION OFFICES 275 GEORGE STREET SYDNEY, NS B1P 1J7

SIGNATURE

DATE

JOB CLASSIFICATION

Change of AddressNameNumberform0815.pdf

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