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Change of Address Form

To request that your address be changed for Peterborough Provincial Offences tickets and/or charges.

Offence/Ticket Number: 3360-

Additional Offence/Ticket Numbers (if you have more than 1) - optional

Your Change of Address request will only be processed to the file number(s) you specify above. Should you have other matters within Peterborough Region and do not know your file number(s), please contact our office at (705) 742-7777 ext. 2099 during regular business hours to obtain your file number(s). Our phone lines are open Monday to Friday, excluding holidays, between 8:30 a.m. to 4:30 p.m.

Defendant Name (First and Last)

New Address

Unit/Apt # (if applicable)

House/Building #

Street Name

City/Town

Postal Code

Effective Date

Notice with Respect to the Collection of Personal Information

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and the Provincial Offences Act, and will only be used for the purposes of processing your application. Questions about this collection may be directed to the Court Services Manager at 705-742-7777 ext. 2901.