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Request for Change of Mailing Address - Town / Village of Essex

  1. Header - change of address form

  2. (xxx-xxx-xxxx)

  3. REQUESTER IS (please check one):*

  4. If printing form to send in, please print name, then sign. If submitting the form electronically, typing in your name is your signature.

  5. This section for Office Use Only

    Request made (check one):

  6. Essex Town & Village of Essex Junction, VT

  7. Websites: www.essexvt.org & www.essexjunction.org

  8. Leave This Blank:

  9. This field is not part of the form submission.