Change of Address or Name Form

Existing Information

New Information

Is this NEW address the Preferred Mailing Address for ALL correspondence from the City of Vincent*
If NO, then please indicate which department will be affected by the above change of details:

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
I agree that the information is true and correct and that I am authorised to request these changes*

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