UWSP Telephone Office Address Change Form
(If you have any problems with this form, please call Karlyn Jakusz at (715) 346-4716.)

Please use this form if you would like your telephone bill mailed (or e-mailed) to an address other than the one listed with Registration and Records.  The Telephone Support Office uses the address information listed with Registration and Records, which is updated daily.  If you made the change in Registration and Records, it will be automatically updated in the Telephone Support Office within 24 hours.

Current Information:

First Name:
Last Name:
UWSP ID Number:
UWSP Cellular Phone Number:
(xxx-xxx-xxxx)
*Only enter a cellular number if you purchased one through the UWSP Telephone Support Office.
E-mail Address:

New Information:

Address:
Address - Line 2:
City:
State:
Zip Code:
New E-mail Address:

Reason for Change:

Withdrawing     Graduating     Moving      Other