Are you struggling to understand the MassGovezPassMA form? You're not alone. Many people are baffled by this important document and don't know where to start filling it out or how to complete it correctly. In this blog post, we'll simplify the process and explain each step along the way so that you can successfully fill out the MassGovezPassMA form with ease. Keep reading for a complete breakdown of how to properly fill out this vital document so that your journey in Massachusetts is a smooth one!
Question | Answer |
---|---|
Form Name | Massgovezpassma Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | fastener, Tobin, 4-digit, Ext |
27 Midstate Drive
Auburn, Massachusetts
www.mass.gov/ezpassma
CHANGE OF INFORMATION FORM
I, __________________________________________, would like to change my…
Section A – Credit/Debit Card Information:
To: Credit/Debit Card #: _____________________________________ Exp. Date: ___ - ____
Note: If you previously had Checking Account Information listed on your account, DO NOT use this form. Please submit an Option Change Form.
Section B – Checking Account Information:
To: Routing#: ____________________ |
Account #: ___________________________________ |
Note: If you previously had Credit / Debit Card Information listed on your account, DO NOT use this form. Please submit an Option Change Form.
Section C – NEW Address, Telephone(s) or Email address:
Street Address: ________________________________________________________
City: ___________________________ State: __________ Zip Code: ____________
Home Telephone: (____) ______________ Business Telephone: (____) _____________ Ext_______
Cell Phone: (____) _______________ Fax:(____) ________________________
Email address: _________________________________________________
Section D – User
I would like to add ______________________________ to my
(Print First and Last Name)
Section E – PIN
I would like to change my PIN code to: _____ _____ _____ _____
Section F – Vehicle Information changes (please circle either change or add or delete):
PLEASE NOTE: If you are participating in either the Tunnel Communities or Tobin Resident Program, you must bring a copy of your vehicle registration to the
I would like to change/add/delete my vehicle information to: Do you need extra fastener strips? yes no
NOTE: If you need an additional transponder for any vehicle listed below, please contact the
Plate#_____________State_____Plate Type_____Make ________________Model _______________Year _____
Plate#_____________State_____Plate Type_____Make ________________Model _______________Year _____
I authorize the change of information on my account as indicated above, and certify that all information contained on this form is true and accurate.
08/12