Kalamazoo County, MI · Kalamazoo County

No notary required

Retiree Address Change

Kalamazoo County retirees use this form to report a new address and updated contact details to the county’s Human Resources Department.

At a glance

Issued by
City of Kalamazoo County · Kalamazoo County, Kalamazoo County, Michigan
Notarization
Not required: file this form without a notary.
Official source
kalcounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Kalamazoo County retirees use this form to tell the Human Resources Department about a change to their address or contact details. It asks for the retiree’s name, date, new street address, apartment number, city, state, ZIP code, phone and cell phone numbers, signature, and date; home email is optional.

Who needs it

Kalamazoo County retirees who need to report a new address or updated contact details to Human Resources should complete this form.

How to submit it

Email the completed form to [email protected], fax it to 269-384-8099, or mail it to the Human Resources Department at 201 West Kalamazoo Avenue, Kalamazoo, MI 49007.

About notarization

This form is signed and dated without a notary; it includes no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download the Form

    Download the Kalamazoo County Retiree Address Change form.

  2. 2

    Complete the Form

    Enter your name, new address, phone and cell phone numbers, and date; home email is optional.

  3. 3

    Sign and Date

    Sign and date the form. The document lists no attachments.

  4. 4

    Send It to Human Resources

    Email, fax, or mail the completed form using the contact details printed on the form.

Frequently asked questions

What is the Retiree Address Change form for?
Kalamazoo County retirees use it to report a new address and contact details to Human Resources. The form includes an optional field for a home email address.
Do I need a notary for the Retiree Address Change form?
No. This form is signed and dated without a notary, and it does not identify a notarized attachment or sworn step.
How do I submit the Retiree Address Change form?
Email it to [email protected], fax it to 269-384-8099, or mail it to the Human Resources Department at 201 West Kalamazoo Avenue, Kalamazoo, MI 49007.

Need something notarized?

This Retiree Address Change doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.