* indicates that the field is mandatory.

This form is used to advise a change to your details.

Company Name or Surname *

Given Names

Date of Birth *

Please provide at least one way that we can contact you if required.

Home Phone

E-Mail address

Mobile Phone

Given Name

Surname

Date of Birth

Home Phone

Email address

Mobile Phone

*** IN THE CASE OF JOINTLY OWNED PROPERTIES, UNLESS OTHERWISE STATED BELOW, THE NEW POSTAL ADDRESS BELOW WILL BE APPLIED TO ALL PROPERTY OWNERS ***

By submitting this advice you are authorising a change of address for all property owners unless otherwise stated.

Is the change of address to apply to every Ratepayer listed on the account?

If no, provide details of excluded owner’s name

Previous mailing address *

New Mailing Address *Must include suburb if a street address *

New residential address (if different to mailing address)

Do you want to update the mailing address for your rates and water accounts?

Property address/es this request applies to

Rates or utility notice number/s

Does at least one of the owners reside in a property noted above

If YES please advise which property

Do you want to update your Cat or Dog location?

Animal location (if different to the new residential address)

Animal name/s

Animal reference/s or tag number

Do you wish to update any permits, licences or applications?

Details (licence, application number etc)

If you have documents, photos or supporting evidence, please attach it below.

Attachment File 1

Attachment File 2