"Change of Address Form" - New York

Change of Address Form is a legal document that was released by the New York State Office of Victim Services - a government authority operating within New York.

Form Details:

  • The latest edition currently provided by the New York State Office of Victim Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Office of Victim Services.

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Download "Change of Address Form" - New York

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ANDREW M. CUOMO
ELIZABETH CRONIN, ESQ.
Governor
Director
CHANGE OF ADDRESS FORM
You have submitted a claim for crime victim compensation. We would like to make sure that you
receive all correspondence from us and our staff may contact you if necessary. Our regulations
require that we receive notification of a change of contact information, such as address or phone
number, in writing from you.
We request that you complete the information below so that we may up-date your file.
This
information is confidential pursuant to the provisions of section 633 of the Executive Law.
Your Claim Number:__________________ (must include)
New Address:
______________________
Date of Occupancy
______________________________________________
Street
______________________________________________
City/Town
State
Zip Code
______________________________________________ (if changed)
Telephone: daytime
cell
____________________________________________________________
SIGNATURE
Please return this form by mail or fax to:
Fax to (518) 485-8885 unless OVS provides you a different fax number
NYS Office of Victim Services
AE Smith State Office Building
nd
80 South Swan Street, 2
floor
Albany, New York 12210
*ADDR*
Alfred E. Smith State Office Building, 80 South Swan Street, Albany, NY 12210
800-247-8035 ovs.ny.gov
ANDREW M. CUOMO
ELIZABETH CRONIN, ESQ.
Governor
Director
CHANGE OF ADDRESS FORM
You have submitted a claim for crime victim compensation. We would like to make sure that you
receive all correspondence from us and our staff may contact you if necessary. Our regulations
require that we receive notification of a change of contact information, such as address or phone
number, in writing from you.
We request that you complete the information below so that we may up-date your file.
This
information is confidential pursuant to the provisions of section 633 of the Executive Law.
Your Claim Number:__________________ (must include)
New Address:
______________________
Date of Occupancy
______________________________________________
Street
______________________________________________
City/Town
State
Zip Code
______________________________________________ (if changed)
Telephone: daytime
cell
____________________________________________________________
SIGNATURE
Please return this form by mail or fax to:
Fax to (518) 485-8885 unless OVS provides you a different fax number
NYS Office of Victim Services
AE Smith State Office Building
nd
80 South Swan Street, 2
floor
Albany, New York 12210
*ADDR*
Alfred E. Smith State Office Building, 80 South Swan Street, Albany, NY 12210
800-247-8035 ovs.ny.gov