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Address Correction Form

Please print and return the completed form to:

Enrollment Services
112 Shields Building
University Park, PA 16802-1271

Email: registrar@psu.edu
Fax: 814-863-1929

Please print and return the completed form to:
Enrollment Services
112 Shields Building
University Park, PA 16802-1271
Email: registrar@psu.edu
Fax: 814-863-1929

Identification

Please enter your name.
9-digit Penn State ID number
Please enter your PSU ID.
Please enter a valid email address.

Permanent Residence

Please enter your street address for your permanent residence.
Please enter the city for your permanent residence.
Please enter the zip code for your permanent residence.
Please enter the country for your permanent residence.
Please include area code
Please enter the phone number for your permanent residence.

Local Address

Please enter your street address for your local residence.
Please enter the city for your local residence.
Please enter the zip code for your local residence.
Please include area code
Please enter the phone number for your local residence.
Last Revised: 4/3/19