Notice of change of address for service76 http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 76 (version 2)
UCPR 4.6
NOTICE OF CHANGE OF ADDRESS FOR SERVICE
COURT DETAILS
Court

#Division

#List

Registry

Case number

TITLE OF PROCEEDINGS
[First] plaintiff
[name]
#Second plaintiff #Number of plaintiffs (if more than two)



[First] defendant
[name]
#Second defendant #Number of defendants (if more than two)

FILING DETAILS
Filed for
[name] [role of party eg plaintiff]
#Legal representative
[solicitor on record] [firm]
#Legal representative reference
[reference number]
Contact name and telephone
[name] [telephone]
NEW ADDRESS FOR SERVICE
Address
[State the new address for service. This must be an address in NSW unless one of the exceptions listed in UCPR 4.5(3) apply.]
#[unit/level number]
#[building name]

[street number]
[street name]
[street type]

[suburb/city]
[state/territory]
[postcode]
#DX address

Telephone

Fax

Email

Electronic service address
[#email address for electronic service eg service@emailaddress.com.au #Not applicable]
SIGNATURE
#Signature of legal representative

#Signature of or on behalf of party if not legally represented

Capacity
[eg solicitor, authorised officer, role of party]
Date of signature