Change of Address Form
(All fields must be completed, unless otherwise noted)
RTO/ERO Member#
First Name
Middle Name (optional)
Last Name
Current
Street Address
Current
City
Current
Province
Current
Postal Code
Phone
Email
Address (optional)
Effective Date for Address Change (dd/mm/yy)
Previous
Street Address
Previous
City
Previous
Province
Previous
Postal Code
Do you want to change your District affiliation?
Yes
No
changeaddress-en 09-05