* fields are mandatory

*Legal First Name	Middle Name
*Legal Last Name

*Agency/Management Company Name
*Agent/Contact Name
*Customer/Client Name
Note: For address changes from Agents or Management Companies, we will require written authorization from the owner before the change of address can be processed.

*Phone Number
*Email Address
*Confirm Email

*I am an authorized signatory for this property Yes No

*Full Name
*Position
*Daytime Phone

*Assessment Roll Number
Help with Roll Number Selection

Property Address:

2nd Property Information

Area:
Jurisdiction:
Roll Number:	(no dots, dashes or spaces)
Property Address:

3rd Property Information

Area:
Jurisdiction:
Roll Number:	(no dots, dashes or spaces)
Property Address:

4th Property Information

Area:
Jurisdiction:
Roll Number:	(no dots, dashes or spaces)
Property Address:

5th Property Information

Area:
Jurisdiction:
Roll Number:	(no dots, dashes or spaces)
Property Address:

If yes, please list the names of other owners of the property that require the same mailing address update as above:

I certify that the information provided in this change of address notification is true, accurate and complete.

I understand that under section 70 of the Assessment Act, a person who knowingly provides false or misleading information to BC Assessment commits an offence.

*I have read and agreed to the above conditions: Yes No

The personal information requested on this form is collected under section 15(2), 16(2), 17(1), 17(2), and/or 24(10) of the Assessment Act and under section 26 of the Freedom of information and Protection of Privacy Act (FIPPA) for the purposes set out in the Assessment Act and Regulations, the Assessment Authority Act, and related purposes. If you have questions about the collection, use or disclosure of your personal information, please contact BC Assessment's Manager, Information Access & Privacy, by mail (400 - 3450 Uptown Blvd., Victoria, BC V8Z 0B9) or telephone at (1-866-825-8322).

Change of Address Notification