Transcription of Application to Redirect Mail Form - Australia Post
1 *221 00000000 0 Office Use OnlyDate stampOperator s nameEntered in webPOS & receipt copy stapled to back of formYes / No* You will need to provide additional documents listed on page 2 of this brochure.^Please provide at least one phone Redirect fromSuburbPostcodeStateAddressSuburbPost codeStateAddressCountry3. Redirect toMail Redirection application1. Service detailsRedirection destination: Where are you redirecting your mail to?Domestic (within Australia )InternationalABNA pplication type (tick 1 box only)Concession cardholder*Home office*PersonalDeceased estate* Business*Start date (at least 3 full business days from today)Finish date Finish afterRelocation type: Are you leaving this address permanently?
2 Ye sNoYe sNoYe sNoYe sNo1 month3 months6 months12 months 4. Person submitting formSubmission eligibility: Are you over 18 years of age?Address Update Service: Would you like us to share your new address details when asked by organisations who already have your old details?Email addressPhone number^Mobile number^TitleGiven names (first and middle names)Surname5. Names for mail redirectionList up to 6 names (including name variations) for each person or business redirecting your personal mail being redirected? If yes, include your name(s) confirm that I have authority to include the people listed above.
3 I understand that it may be a criminal offence to Redirect a person s mail without their authority or to knowingly give Australia post false or misleading information. I have read and understood the Terms and Conditions and Privacy Notice (included within this form ).6. DeclarationTitleGiven names OR Business nameSurname18+ORSignatureDatePlease keep this copy for your records and enquiries. Look out for your invitation to extend your Mail Redirection service before the expiry date. Customer enquiries: call us on 13 post (13 7678) within Australia or visit copyOffice Use OnlyDate stamp2.
4 Redirect fromSuburbPostcodeStateAddressSuburbPost codeStateAddressCountry3. Redirect toMail Redirection application1. Service details Redirection destination: Where are you redirecting your mail to?Domestic (within Australia )InternationalABNA pplication type (tick 1 box only)Business*Start date (at least 3 full business days from today)Finish date Finish afterRelocation type: Are you leaving this address permanently?Ye sNoYe sNoYe sNoYe sNo1 month3 months6 months12 months 4. Person submitting formSubmission eligibility: Are you over 18 years of age?Address Update Service: Would you like us to share your new address details when asked by organisations who already have your old details?
5 Email addressTitleGiven names (first and middle names)Surname5. Names for mail redirectionList up to 6 names (including name variations) for each person or business redirecting your personal mail being redirected? If yes, include your name(s) DeclarationTitleGiven names OR Business nameSurname18+ORSignatureDatePhone number^Mobile number^I confirm that I have authority to include the people listed above. I understand that it may be a criminal offence to Redirect a person s mail without their authority or to knowingly give Australia post false or misleading information. I have read and understood the Terms and Conditions and Privacy Notice (included within this form ).
6 * You will need to provide additional documents listed on page 2 of this brochure.^Please provide at least one phone cardholder*Home office*PersonalDeceased estate*
