BCSC Address Change Form

BCSC Address Change Form

After submitting, check your email for the WH-4 form. You must complete both forms to finalize your address change.
Email*
example@example.com
Name*

First NameLast Name
Position*
Building (If you work at multiple buildings, you only need to select one)*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Yes, different countyNo, the county stayed the same
Personal Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Effective Date*

MonthDayYear
Date
After submitting the form, please check your email for the WH-4 form. You must complete both forms to finalize your address change.
Should be Empty: