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Change of Address Form (Individual)

    Change of Address Form (Individual)

    This form cannot be used to change ownership of a property.
    The personal information requested on this form is being collected by Council to maintain an accurate Name and Address Register. The personal information will be used solely by Council for that primary purpose or directly related purposes. The applicant understands that the personal information provided is for Council records and that they may apply to Council for access and or amendment of their information.

    Applicant 1 Details (You)

     

    Applicant 2 Details

     

    Address Details


    Is this new address for all account/correspondence? * (required)

     

    Other Council Accounts

     

    Animals

    Please list any animals that are registered to the Applicant.

    Animal 1

     

    Animal 2

     

    Animal 3

     

    Declaration

    I have completed all required sections on this form. I declare that all the information provided on this form is true and correct and understand that it is an offence to provide false or misleading information. * (required)
    I acknowledge Wellington Shire Council's Privacy Statement. * (required)

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