Retiree Information Form

Town of Palm Beach

Retirees of the Town of Palm Beach may provide updated contact information including mailing address and email. The information in this document will be verified by staff who will call retirees to confirm the change, requesting verification of personal information to confirm identify, prior to making any changes.

You may also contact Human Resources directly at (561) 838-5450.

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* 1. Provide your full name:

First Name

Last Name

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* 2. Provide your email address:

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* 3. Provide your current mailing address:

Street

Apartment # (if applicable)

City

State

Zip

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* 4. Provide your phone number(s):

Home Phone:

Cell Phone: