Change of Details » Shire of East Pilbara

I declare I am the authorised representative mentioned below and I authorise the Shire of East Pilbara to change details as indicated*

YesNo

Is this Change for a Person or Business?*

PersonBusiness

Property address in the Shire of East Pilbara

Street Address:*

Town:*

State:*

Post Code:*

Country:*

Assessment Number If Known (Found on Rates Notice)

Departments to update*

RatesCats/DogsDebtorsCreditorsBuildingHealthPlanning

Full Name*

Previous Address

Property Assessment Number

New Address

Street Address:

Town:

State:

Post Code:

Country:

Should this address be listed as your mailing address?*

YesNo

New Name

Documentation Required

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

Contact Number*

Email Address*

Confirm Email Address*

I would like my Rates Notices to be emailed

YesNo

My preferred method of correspondence is via email

YesNo

What date is the change effective from?

Please list any other properties or details you wish to update within the Shire of East Pilbara