Change of Address
	Your Details

Title

--- Mrs Mr Miss Ms Sir Lord Lady Dr Prof Rev Other

other title (please specify)

*	Forename
	Middle name/Initials
*	Surname

	Notification to Council Services
	With your permission we will pass the details given in this form to services within the Council. Please untick the boxes of services that you do not want your information passed to.   Please note: some service areas will have to contact the individuals to obtain details on a separate form, Including a signature, where this is required for legislative reasons

*

Customer Accounts Electoral Registration Environmental Health (including Licensing), Trading Standards and Bereavement Services Adult and Community Services Homecare Community Alarm Carers Emergency Alert Card Childrens Services (including Education)... Housing Services... Leisure Service... Housing and Council Tax Benefit... Council Tax... Business Rates... Library Services Parking Services... Customer Services (if this option is ticked the CRM system will be updated)