MyAddress Change

STEP 1
Enter what type of move is this.

Permanent

Temporary

Select Temporary if you plan to move back to your old address within 12 months.

Start forwarding on

mm/dd/yyyy

If TEMPORARY move, enter date to discontinue forwarding

mm/dd/yyyy

Individual

Select Individual if you are the only one moving

Family

Select Family if everyone in your household has the same last name and everyone is moving to the same new address.

Business

Select Business if a business is moving.

If business, please enter business name below.

STEP 2
Enter your information.

Mr.	Mrs./Ms./Miss

First Name	Last Name

Contact Phone
- -

Email Address

Confirm your email address (Your Change of Address Confirmation will be e-mailed to the above e-mail address.)

Date Of Birth

The person who prepares this form states that he or she is the person, executor, guardian, authorized officer or agent of the person for whom mail would be forwarded under this order. Anyone submitting false or inaccurate information on this form is subject to punishment by fine or imprisonment or both under Sections 2, 1001, 1702 and 1708 of Title 18, United States Code.

I agree to the Authorization appearing when I click this link, which authorizes this service to file on my behalf an official U.S. mail forwarding change of address form to forward my mail from the OLD Address to my NEW Address listed on this form.

STEP 3
Enter your moving information.

Please enter your old address

Street

Apt/Suite	City

State

Zip Code

Please enter your new address

Street

Apt/Suite	City

State

Zip Code

Verification Code

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**Important Information Regarding This Web Site: MyChangeAddress is a private business entity that facilitates the address change request process for its users. MyChangeAddress is independently owned and operated by Bridgevine, Inc. and is not affiliated with the United States Postal Service. MyChangeAddress acts as an authorized agent for users wishing to file their address change request with the United States Postal Service - this service is provided for a fee to cover postage, handling, and processing. Users submitting their address change request may also be presented offers for commercial products and services related to the moving process. MyChangeAddress files a hard copy of the official change of address form with the United States Postal Service on behalf of its users. The accuracy of the information is the responsibility of the user.

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