SPO - Change of Address Form

Please complete all fields below.

Change of address effective date: Change of address effective date: / MM / DD YYYY
Department Name:
Old Address
Building Name:
Suite / Room Number:
Street Address:
City, State, Zip:
New Address
Building Name:
Suite / Room Number:
Street Address:
City, State, Zip:
Names of Staff Moving to New Location:
Point of Contact
Name: Name: First Last
Title:
Phone: Phone: - ### - ### ####
Email:
*IMPORTANT INFORMATION*

While Distribution Services does handle the mail/receiving for the Perelman School of Medicine, we do not fall under Penn Mail Services and cannot view or update their address records.

In addition to this form, you must also fill out Penn Mail Services’ Change of Address Form:
Click Here for the Penn Mail Services Form