ADDRESS CHANGE FORM

Required fields are marked with an asterisk (*).

Defendant's Details

Defendant's name (Given)

Defendant's name (Family)

Company Name

Driver's License Number

Your Change of Address request will only be processed to the file number(s) you specify below.

Court file/Offence number

If you have more than one ticket, you can add additional tickets below:

New Address

Street Address

Apartment/Unit Number

Municipality (town/city)

Province

Postal Code

Effective Date

Phone Number

Email

Old Address

Street Address

Apartment/Unit Number

Municipality (town/city)

Province

Postal Code

Personal information contained on this form is collected under section 17 of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to respond to your request. Questions about this collection may be directed to the Freedom of Information and Privacy Coordinator for the City of Windsor, 350 City Hall Square West, Suite 530, Windsor, ON N9A 6S1 or 519 - 255 - 6100 Extension 6578.