Company Contact Changes Form

Please provide information for the new contact

New Contact Information

(Fields with an asterisk are required)

To process a company contact change, a verification letter from an authorized company representative approving this change (i.e. CEO, CFO, Controller, HR Manager, President, etc.) is required. This verification letter must:
  • Be on your company’s official letterhead
  • Contain explicit text that the new contact person is the new company contact and/or certifying official for the EEO-1 Report
  • Must be signed by an authorized official (i.e. CEO, CFO, Controller, HR Manager, President)
  • Contains contact information (phone number and email) for the authorizing official verifying the new contact person


Upload* (upload requirements: PDF/JPG)

EEOC Letter MRMI.pdf
Submitted: Monday, May 10, 2021
171-102