Change of Details Form

If you would like to change your home, mailing or business details with the Shire of Boddington, please complete the form below.

The Shire of Boddington collects personal information to process requests, applications and related enquiries. Information may be shared with relevant parties where required or as authorised by law. If the information is not provided, the request or application may not be processed. Further information is available in the Shire's Privacy Statement.

Assessment Number

Property Address*

Contact Email*

Street Address:*

City:*

State:*

Post Code:*

Country:*

Existing Mailing Address

Existing Title*

Given Names*

Existing Surname or Business Name*

Existing Phone - Home

Existing Phone - Mobile

Existing Phone - Work

Street Address:*

City:*

State:*

Post Code:*

Country:*

New Mailing Address

Title

Given Names

New Surname or Business Name

New Phone - Home

New Phone - Mobile

New Phone - Work

Is this new address the Preferred Mailing Address for all correspondence?

If No, then please select which departments will require notification

RatesPlanningCreditor/DebtorWorks & ServicesPet RegistrationHealth & Safety

Other

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