Planning a weekend
away / holidays?
If you are away from
your home location,
even for a weekend
can you please let us
know your temporary
address phone number
Why???? Just in
case we need to
notify you of an
injury, illness or
major incident in
the area of
operations.
Temporary or Permanent
Change of Address - Contact
Details Notification Form
DEFENCE MEMBER’S DETAILS:
RANK & FULL NAME: ___________________________________
PMKEYS No: ____________________________________________
OPERATION NAME: _____________________________________
FAMILY MEMBER’S DETAILS:
FULL NAME: ___________________________________________
RELATIONSHIP: ________________________________________
PERMANENT MOVE EFFECTIVE DATE: ___________________
________________________________________________________
TEMPORARY MOVE EFFECTIVE DATE: ___________________
________________________________________________________
CONTACT US ON
NEW ADDRESS: _________________________________________
1800 801 026
________________________________________________________
________________________________________________________
________________________________________________________
NEW PHONE NUMBER: __________________________________
SIGNATURE: ___________________________ DATE: __________
WHEN COMPLETE RETURN TO:
National Welfare Coordination Centre
PO Box 7928
Canberra BC ACT 2610
OR
Fax: (02) 6218 4144