"*" indicates required fields Collection Notice The information we are collecting is necessary to deal with or respond to your enquiry or service request. Your personal information has been collected in accordance with the Information Privacy Act 2009 (QLD) and will not be disclosed outside of Australia. We may not be able to deal with or respond to your request if you choose not to provide your name and contact details. Our Queensland Privacy Policy (QPP) Privacy Policy explains how you may request access to and/or correct your personal information. Our policy also explains how you can complain to us if you consider we have breached our obligations to manage your personal information in accordance with the QPP, and how we deal with privacy complaints.Acknowledgment* I have read and accept the collection notice above. ApplicantName* First Last Email* Phone*The change/s is/are* Postal address Residential address Phone number Email address The updated information applies to:*Tick all that apply Dogs Rates Debtor Building Resident Business licences and permits Person or Company DetailsList the person/people and/or company/ies the change applies to.*Select the plus symbol to add more lines.Surname or registered company nameFull given names (no initials) Add RemoveList the properties this change applies to (if applicable).Select the plus symbol to add more lines.Street or lot numberStreet name or plan numberTown/CityProperty number Add RemovePostal addressNew postal address* Street address or post box Address Line 2 Town State Post code Previous postal address* Street address or post box Address Line 2 City State Postcode Residential addressNew residential address same as new postal address?* Yes No New residential address* Street address Address Line 2 Town State Post code Previous residential address* Street address Address Line 2 Town State Post code Phone numberNew phone number/s*Old phone number/s (if applicable)Email addressNew email address* Enter Email Confirm Email Old email address (if applicable) Do you have dogs registered in your name?* Yes No Address where the dogs are kept* Street address Address Line 2 Town You must accept the conditions of the collection notice (top of form) before you can submit this form.
