Update Contact Information

2. Instructions

   Defendants are required to provide notice to the Municipal Court of any changes to your contact information. If you have recently changed addresses, phone numbers, or email addresses, please complete this form and submit to the Court. Please contact the Court if you have any questions.

4. First Name*
5. Last Name*
6. Date of Birth*
   Date of Birth
7. Citation Number
9. Previous Phone Number
10. New Phone Number
12. Previous Email Address*
13. New Email Address
15. Previous Address
17. City
18. State
19. Zip Code
21. New Address
23. City
24. State
25. Zip Code
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) the information you supplied is true and correct, 2) your request will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree
29. Electronic Signature*
30. Date of Signing*
    Date of Signing
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field