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CLASS ACTION Fees for educational services and for the purchase of school materials

CLASS ACTION Fees for educational services and for the purchase of school materials

Change of address signification form

 

-- IMPORTANT MESSAGE --

  • Collectiva cannot give you information as to the address indicated in your child’s file.
  • If you do not know the address under which your child was registered, please complete this form and indicate your current address.
  • In order to ensure that your information is properly processed, we suggest that you enter it as it appears on a report card or other communication received from your school board.
  • The information provided on this page will only be used for the purpose of the class action.

 

Form

 

Permanent Code
Format: ABCD00000000 (4 letters followed by 8 digits)

This permanent code can be found on the following documents:
- Report card
- Student registration form
- Intervention plan
Child's last name
As recorded in the child's file upon registration at school
Childs's First name
As recorded in the child's file upon registration at school
Year of birth of the child
2 last digits of the year (Ex.: 99 for 1999, 01 for 2001)
Month of birth of the child
01 to 12
Day of birth of the child
01 to 31
Your last name
Your first name
Other parent last name
If your application is for 2 parents at the same address, enter here the name of the other parent
Other parent first name
If your application is for 2 parents at the same address, enter here the first name of the other parent

 

Your new address

Country
Address outside Canada
Enter the complete address
Street Nbr.
Street type
Street name
Street orientation
Appartment
City
Province
Postal Code
Format: A1A 1A1

If you prefer the check to be sent to a post office box, complete below.

PO Box

 

I understand that it is my responsibility to verify that the information provided in this change of address form is correct, otherwise the check won't be issued.
For the sole purpose of processing my claim file, I agree that the information provided in this change of address form will be used and shared between the administrator Collectiva and the School Boards representatives.
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