Your name (please print):

Social Security Number (optional):

If you don't supply your SSN, we may not be able to identify your member record; this form will be destroyed after your record is updated.

Check all items that apply to your update:

       Address change

        Phone Number change

        Email Address change

        Change my membership to this local unit (Please print the local unit's name)

Enter your old address (required for address changes; please print):

     Full mailing address:  

Enter your current contact information (please print):

      Full mailing address: 

     Home phone number (including area code):  

     Email address:  

Please complete this form and mail to:
NC Retired School Personnel
Attn:  Member Update
PO Box 27347
Raleigh, NC 27611-7347

Alternatively, you may submit this information via email to Pam.Deardorff@ncae.org.

  Please use the subject line "Member Update".