Online Form - Change of Details


Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Property Details

Existing Information

New Information

Is this NEW address the preferred mailing address for ALL correspondence from the Shire of Denmark*

Supporting Information

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Use and Privacy of Customer Details
Personal information is received and collected by the Shire of Denmark for the purpose of providing services normally
delivered by a local government. Your personal information may be disclosed if it appears in documents that are required to be publicly available for disclosure under the provisions of the Local Government Act 1995 or any other legislation. For further information click to view the Shire of Denmark Privacy Statement

Please ensure that your postal address is accurate, as this is the only contact that the Shire of Denmark will guarantee the use of, for the purpose of communicating with you. Your other contact details may only be used for convenience.

I certify that the information I have submitted in this form is true and correct to the best of my knowledge*

Validate and Submit Form

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