Change My Details RHG-JF-067

Change my Details Form

RHG-JF-067 | Version 2 | Review 23/03/2025
Name*

First NameLast Name
Please fill out the below details in full and in a legible manner to ensure your wages are processed correctly whether you are a new employee or a current employee making a change in personal details.
Date of Birth*

DayMonthYear
Entity

Part 2 - Update my Next Of Kin
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship
Home Phone
Mobile

Part 3 - Update my Bank Account
PRIMARY Bank
Branch
BSB
Account Number
SECONDARY Bank
Branch
BSB
Account Number
Deposit Amount

Part 4 - Update my Super Fund
Superannuation Fund
Fund ABN
Super Member Number
Fund USI Number
Fund Phone Number

Part 5 - Update my Work Rights
Are you an Australian Citizen

YesNoAboriginal/Torres Strait Islander
Do you have a Work Visa?

YesNo
Work Visa Expiry Date

DayMonthYear
Upload copy of your VISA

Upload a File

Cancelof

Sign off
This form was submitted by the Employee

YesNo
Employee Signature
Submitted by Staff

First NameLast Name
Date*

DayMonthYear

Office Use Only
This form has been verified by calling the submitter direct via number available on personnel file.

YesNo
Greentree has been updated

YesN/A
Superannuation spreadsheet has been updated

YesN/A
Bullhorn has been updated

Yes
Date

MonthDayYear
Date
Verified By

First NameLast Name
Should be Empty: