Jefferson County, NY · Jefferson County
Change of Information for Civil Service Examinations
Candidates use this form to report name, contact, or residency changes to Jefferson County Civil Service for applicable examinations.
At a glance
- Issued by
- City of Jefferson County · Jefferson County, Jefferson County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- evogov.s3.amazonaws.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets candidates notify Jefferson County Civil Service about changes to their name, phone numbers, or residence that could affect canvassing of eligible lists. It asks for the affected examination titles and numbers, information about the new address, and an affirmation under penalties of perjury. Candidates complete and return it when their information changes.
Who needs it
Candidates with a new residence, last name, or telephone number should submit this form for the examinations it applies to.
How to submit it
Return the completed form by mail, fax, or hand delivery to Jefferson County Department of Human Resources, 175 Arsenal St., Watertown, NY 13601. The form lists fax number 315-785-5052.
About notarization
This form is signed and dated without a notary; it includes an affirmation under penalties of perjury, but no separate notarized attachment.
How to submit this form
- 1
Download the Form
Download the Change of Information for Civil Service Examinations form.
- 2
Complete the Form
Enter your name, new contact and address details, affected examination titles and numbers, and the requested information about your new address.
- 3
Sign and Date
Sign and date the form, affirming that its statements are true under penalties of perjury.
- 4
Return the Form
Mail, fax, or hand deliver it to Jefferson County Department of Human Resources at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Change of Information for Civil Service Examinations?
- No. Sign and date the form without a notary. It includes an affirmation under penalties of perjury, but no separate notarized attachment.
- How do I submit the civil service examination information change form?
- Return it by mail, fax, or hand delivery to Jefferson County Department of Human Resources, 175 Arsenal St., Watertown, NY 13601. The form lists fax number 315-785-5052.
- What information does this form ask for?
- It asks for your new contact and address information, the examination titles and numbers affected, and details about your new address, including its school district.
- When should I report a change of information?
- The form says candidates are responsible for notifying Civil Service of residency changes that might affect canvassing of eligible lists, or changes of last name or telephone numbers.