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notice of change of address
Court File Number:

In the Provincial Court of British Columbia
Court Location:

In the case between:
Name

And:
Name

Your Name
I, Name
wish to notify the court and the other parties that my address for service is now changed to:
What is your
new address
for service?
This address may be
different from your
home address.

When

is the
address change
effective?

(Set out the street address of the address for service. One or both of a fax number and an e-mail address may be given as additional addresses for service.)
Address

CIty

Province

Postal Code

Phone

The change is effective as of

FAx

E-Mail

DATE

Dated
Signature of Party or Party’s Solicitor

Information

for the party filing
this notice.

Note: Provincial Court (Family) Rule 9(5) provides that:

If a party’s address for service changes, the party must promptly file a notice of change of address in
Form 11 and serve a copy of the notice on the other parties.

PFA 053
03/2013
Form 11
(OPC 75308540