In this section
= Required Fields

Online Form - Change of Details Form

This form is for Town of Port Hedland Employees to submit who have had a change in their personal details.

Current Employee Details


Change of Details (please select applicable)

Please select applicable from below

Section A: Change of Address


Section B: Change of Contact Details


Section C: Change of Bank Details


Section D: Change of Marital Status


Section E: Change of Name


Section F: Change of Emergency Contact Details


Section G: Citizenship Declaration

Are you an Australian Citizen? *

Additional Superannuation (if Applicable)

I hereby authorise the Town of Port Hedland to deduct from my salary the following additional superannuation contribution each pay period (fortnight) that will be contributed towards my nominated superannuation fund.


Communications

If you do not have a ToPH email address, would you like to receive 'All Staff' notifications including Friday Facts sent to your personal email address?

If you do not have a ToPH email address, would you like to receive 'All Staff' notifications including Friday Facts sent to your personal email address?

Employee Signature