In this Section

Change your details

Please attach certified copies of documentation confirming these changes ie. Marriage Certificate

Supporting documents*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

First name*

Surname*

Street Address:*

City:*

State:*

Post Code:*

Country:*

Postal address (if different)

Email*

Telephone Number

Previous Name (in full)

Previous Residential Address

Previous Postal Address

Previous Email

Previous Telephone Number*

I understand that in completing and submitting this form, any previous details held by the Shire of Toodyay will be replaced with the new details on this form. I understand that the Shire may contact me for any further verification of this detail.

Date

Preferred contact method*

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image

Change your details

Address

Contact Us

Connect with us

Contact the Shire