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Electoral Services-Notification of Leaving

Complete the details below for the person/people leaving the address.

Name of person reporting the change

Address of property


Name and address of leavers

Please add the names of each person leaving the property. Use the ADD button for each person.
Date they moved out (if known)
Date they moved out (if known)

New Address

Enter new address (if known)


Data protection and privacy

The information you give us will be handled according to the Data Protection Act and privacy policies.

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