Procedure Name:Contact Info Change Form - US
Scope:US Employees
Revision Date:April 28, 2021
Last Review Date:June 7, 2023


International Staff - please use the international form to update either your domestic or foreign address: Contact Info Change Form - International


If you are married to another Reliant employee, BOTH employees must update their contact information on file with Reliant.

When to Notify Reliant of a Move

Employees must notify Reliant of a permanent address change within fourteen (14) days of moving. 

Taxes Related to Permanent Residence 

As your employer, Reliant has the responsibility to withhold and report the correct federal, state, and local taxes on your behalf. Failure to notify Reliant of a change in address may result in overpaid or underpaid taxes and penalties for the employee. Reliant will not be responsible for incorrectly paid taxes if the employee fails to provide full information about the address change.  

With a change in permanent residence, you may need to fill out new tax forms. We will review your address and determine what taxes we need to withhold. After our review, we will notify you of any new tax forms we need to collect. If we do not receive these forms, we will withhold the default amount, which may be more or less than your actual tax responsibility.

Please also research your local taxes, as some cities require additional taxes or forms to be filed directly by employees with their local tax agencies. 

Contact Info Change Form

This form may also be used to update your phone number. 


  • If you do not see the form below, make sure you are logged in to your reliant.org Google Account on this browser. You may do this at mail.reliant.org or drive.reliant.org. Refresh this page after you sign in.
  • If you are on a mobile device and have trouble reading the form, you may use this alternate link.
  • If you have trouble with the Google form, please email your program team liaison. 


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Other places you need to change your address 

Please be aware that the items below are the sole responsibility of the Reliant Employee.