* Required field

Use this option to notify us of a change of your mailing address for Rates correspondence and notices

Property Owner 1 *
Date of Birth eg: dd/mm/yyyy *
Does change relate to a 2nd Owner ?
Property Owner 2 *
Date of Birth *
If more than 2 owners - detail below
Additional Owner details
Property Address *
Assessment No. (Please do not enter the decimal point, if number not known, enter 0) *
Does this change relate to more properties ?
List other Property addresses and Assessment numbers *
New Postal Address *
If you have provided a PO Box or a Real Estate Agent as your new mailing address, please provide a residential address for use in determining your voting entitlement.

If the address is the same as your new Postal Address, enter As Above

Voting Entitlement Address *
By submitting this Change of Address request form online, you are authorising Nillumbik Shire Council to change the address of future Rate notices.

Surname *
Given name *
Please provide at least one contact option
Mobile
Alternate number
eMail address