Address/Phone/Name Change Form - Adobe PDF format

Address/Phone/Name Change Form - Microsoft Word 2003 format

Use this form to report the following types of changes to IMLRMA:

• Name changes to mayor/village president, or RMC.
• Address, phone, or email change for RMC.
• City/village hall address or phone change.
• City/village hall open hours change.

1. Complete the Address/Phone/Name Change Form by selecting the appropriate version of the form above.
2. Make/save a copy of the completed form for your own records.
3. Print and fax a copy of the completed form to (217) 443-0927, or
4. Mail the completed form to:
IMLRMA
c/o CCMSI
2 East Main Street
Danville, IL 61832
or
5. Attach the form (MS Word only) to an email and send to imlchanges@ccmsi.com.
6. If you have problems with or questions about the form, please contact us at: (800) 252-5051.