Change Of Address Form

Please note that this change of address form is to be used for Shire business only.

Any Name changes must be filled out with another form available from the Shire of Northam Administration Office. A certified copy of the documentation showing the change of name must also be submitted.

Mandatory fields are marked with a *.

Name **

* Required Field.

Property Details **

* Required Field.

Old Postal Details **

* Required Field.

New Postal Details **

* Required Field.

Contact Phone Number

Email

** Must be a valid email.

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