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CSE-1091A Notification of Change of Address

CSE-1091A Notification of Change of Address

 

INSTRUCTIONS: ARIZONA NOTIFICATION OF CHANGE OF ADDRESS (Form CSE-1091A)

 

 

Anyone who is making or receiving child support payments in Arizona under the supervision of the Department of Child Support Enforcement is required to provide notification whenever their address changes. This is done by completing a form CSE-1091A. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

 

Arizona Notification Of Change Of Address CSE-1091A Step 1: On the first blank line, enter your name.

 

Arizona Notification Of Change Of Address CSE-1091A Step 2: On the second blank line, enter your ATLAS case number.

 

Arizona Notification Of Change Of Address CSE-1091A Step 3: On the third blank line, enter the street number and name of your old address, including any applicable apartment or suite number.

 

Arizona Notification Of Change Of Address CSE-1091A Step 4: On the fourth blank line, enter the ciy, state and zip code of your old address.

 

Arizona Notification Of Change Of Address CSE-1091A Step 5: On the fifth blank line, enter the street number and name of your new address, including any applicable apartment or suite number.

 

Arizona Notification Of Change Of Address CSE-1091A Step 6: On the sixth blank line, enter the city, state and zip code of your new address.

 

Arizona Notification Of Change Of Address CSE-1091A Step 7: On the seventh blank line, enter the date as of which this change of address became effective or will become effective.

 

Arizona Notification Of Change Of Address CSE-1091A Step 8: You may choose to file this form by submitting it in person at the offices of your local Child Support Enforcement office.

 

Arizona Notification Of Change Of Address CSE-1091A Step 9: You may alternately choose to file this form by mailing it to the Arizona Department of Economic Security at the address given at the bottom of the page.

 

Arizona Notification Of Change Of Address CSE-1091A Step 10: You may alternately choose to file this form by faxing it to the number given on the document.

 

Arizona Notification Of Change Of Address CSE-1091A Step 11: Regardless of the method in which you file this form, a clear, readable copy of your driver's license must be included. If you are not in possession of a driver's license, use another official document for the purposes of identification and verification.

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