CEP Union Local 2289

6300 Lady Hammond Rd. Suite 100 Halifax, N.S. B3K 2R6 (902)425-2440

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Change of Name Form

You must fill out all areas of this form before clicking the submit button to send the information for review.

First Name :
Last Name:
Change of Name:

Change of Address Form

You must fill out all areas of this form before clicking the submit button to send the information for review.

Name	Employee ID #
Old Address	New Address
Street	Street
Apt #	Apt #
City	City
Postal Code	Postal Code

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