If you need to change any identification or availability information on a previously submitted application, DO NOT RE-APPLY. Send a letter or use this form. Re-apply for the same jobs only if you have changes in your job related training or work history. Example changes include: name, address, phone, work preferences, counties where available, other). DO NOT USE THE FORM FOR QUESTIONS. If you have questions call (304) 558-3950, press 1. Use Tab or the mouse to move from item to item. Do not use Enter key.

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Your Email address:	(email address required.)
Name:
Day Phone:
Last 3 digits of your SSN:
Type or paste. Indicate the items in your application you wish to change. You may use the Enter key in this box.