Chemung County, NY · Chemung County
Report of Address Change
This form reports a change of address and is completed by a person who needs to update their address with the county.
At a glance
- Issued by
- City of Chemung County · Chemung County, Chemung County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chemungcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Report of Address Change lets a person provide their name, case number if known, date of birth, phone number, previous address, and current address. The form does not state when it must be filed or identify a submission office. It notes that a worker may need proof of residency or household composition, and that any further verification request will arrive by mail.
Who needs it
Anyone reporting an address change to the county can use this form to provide their previous and current address and identifying details.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details. The form does not specify another submission method.
About notarization
This document is completed without a notary; it requests address information, and mentions no notarized attachment or related step.
How to submit this form
- 1
Download the Form
Download the Report of Address Change PDF.
- 2
Complete the Form
Provide your name, case number if known, date of birth, phone number, previous address, and current address.
- 3
Check for Verification Requests
Your worker may need proof of residency or household composition; the form says further verification requests will arrive by mail.
- 4
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What information does the Report of Address Change request?
- It asks for your name, case number if known, date of birth, current phone number, previous address, and current address.
- Do I need a notary for the Report of Address Change?
- No. This document is completed without a notary; it requests address information and mentions no notarized attachment or related step.
- How do I submit the Report of Address Change?
- Submit it to the county department named on the form; check the county website for current contact details. The form does not specify another submission method.
- Could I need to provide additional information?
- The form says your worker may need proof of residency or household composition. If further verification is required, you will receive a request by mail.