Change of Address Form

Departments

<form-template>
	<fields>
		<field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1679587673003"></field>
		<field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1679587673595"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1679587675299"></field>
		<field type="date" label="Date" class="form-control calendar" name="date-1679587875699"></field>
		<field type="text" subtype="text" required="true" label="Property Address" class="form-control text-input" name="text-1679587676243"></field>
		<field type="text" subtype="text" label="Block" class="form-control text-input" name="text-1679587676739"></field>
		<field type="text" subtype="text" label="Lot" class="form-control text-input" name="text-1679587677235"></field>
		<field type="text" subtype="text" label="Qualifier" class="form-control text-input" name="text-1679587677667"></field>
		<field type="header" subtype="h3" label="New Mailing Address" class="header"></field>
		<field type="text" subtype="text" required="true" label="Address Line 1" class="form-control text-input" name="text-1679587686027"></field>
		<field type="text" subtype="text" label="Address Line 2" class="form-control text-input" name="text-1679587686355"></field>
		<field type="text" subtype="text" required="true" label="City" class="form-control text-input" name="text-1679587686674"></field>
		<field type="select" required="true" label="State" class="form-control select" name="select-1679587692059">
			<option value="AK" selected="true">AK</option>
			<option value="AL">AL</option>
			<option value="AR">AR</option>
			<option value="AZ">AZ</option>
			<option value="CA">CA</option>
			<option value="CO">CO</option>
			<option value="CT">CT</option>
			<option value="DC">DC</option>
			<option value="DE">DE</option>
			<option value="FL">FL</option>
			<option value="GA">GA</option>
			<option value="HI">HI</option>
			<option value="IA">IA</option>
			<option value="ID">ID</option>
			<option value="IL">IL</option>
			<option value="IN">IN</option>
			<option value="KS">KS</option>
			<option value="KY">KY</option>
			<option value="LA">LA</option>
			<option value="MA">MA</option>
			<option value="MD">MD</option>
			<option value="ME">ME</option>
			<option value="MI">MI</option>
			<option value="MN">MN</option>
			<option value="MO">MO</option>
			<option value="MS">MS</option>
			<option value="MT">MT</option>
			<option value="NC">NC</option>
			<option value="ND">ND</option>
			<option value="NE">NE</option>
			<option value="NH">NH</option>
			<option value="NJ">NJ</option>
			<option value="NM">NM</option>
			<option value="NV">NV</option>
			<option value="NY">NY</option>
			<option value="OH">OH</option>
			<option value="OK">OK</option>
			<option value="OR">OR</option>
			<option value="PA">PA</option>
			<option value="RI">RI</option>
			<option value="SC">SC</option>
			<option value="SD">SD</option>
			<option value="TN">TN</option>
			<option value="TX">TX</option>
			<option value="UT">UT</option>
			<option value="VA">VA</option>
			<option value="VT">VT</option>
			<option value="WA">WA</option>
			<option value="WI">WI</option>
			<option value="WV">WV</option>
			<option value="WY">WY</option>
		</field>
		<field type="text" subtype="text" required="true" label="Zip Code" class="form-control text-input" name="text-1679587687075"></field>
		<field type="checkbox" required="true" label="I am the owner of the above property, or I have the express written permission of the owner to request this change to the mailing address." class="checkbox" name="checkbox-1679587702547"></field>
	</fields>
</form-template>

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Township of Ocean | Official Website - Change of Address Form

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Change of Address Form

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