Individual Address Change Form PDF Details

Encountering the necessity to update personal information with government departments is a quintessential part of navigating bureaucratic processes, especially when such changes pertain to one's address. The Individual Address Change Form issued by the Commonwealth of Virginia's Department of Criminal Justice Services exemplifies a straightforward yet critical mechanism for ensuring accurate records. Designed for individuals required to update their contact information, particularly their mailing and physical addresses, this form is an integral part of maintaining current and accurate information within the department's database. Applicants are required to provide detailed personal information, including their social security number or DCJS ID, full name, and both mailing and physical addresses if they differ, alongside their contact details. Moreover, employment information is requested to corroborate the applicant's current occupational status, underscoring the form's holistic approach to address changes. The form also incorporates an affirmation section where the applicant certifies the truthfulness and completeness of the information provided, emphasizing the seriousness with which this information is considered by the department. Processing this form, which takes approximately 5 to 7 business days, is a crucial step for individuals to ensure their compliance with state mandates and aid in the efficient administration of justice services in Virginia.

QuestionAnswer
Form NameIndividual Address Change Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdcjs, IAC, PSS, dcjs change of address

Form Preview Example

COMMONWEALTH OF VIRGINIA

Department of Criminal Justice Services

P.O. Box 1300 • Richmond, VA 23218

Phone: (804) 786-4700 • Fax: (804) 786-6344 www.dcjs.virginia.gov/pss

Status Hotline

(804)786-1132

1-877-9STATUS

INDIVIDUAL ADDRESS CHANGE FORM

IMPORTANT INFORMATION

This request may take approximately 5 to 7 business days to process.

Applicant Information

SSN or DCJS ID:

Last Name:

First Name:

 

 

 

Mailing Address (Street/Apt.#):

City, State, Zip:

Physical Address (if different than mailing address):

City, State, Zip:

 

 

 

MI:

Email Address:

Home Phone:

Business Phone:

Fax:

 

(

)

(

)

(

)

 

 

 

 

 

 

 

 

 

 

 

 

Employment Information

Business Name:

DCJS ID Number:

11-

Affirmation

I, the undersigned, certify that all information contained on this application is true and correct to the best of my knowledge and I have not omitted any pertinent information. I understand that any misrepresentation, falsification or omission of pertinent information may be cause for denial and may result in criminal charges.

Signature Required:

Date:

mm/dd/yy

10/2012

Page 1 of 1

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Part no. 1 in completing IAC

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