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Notification of change of address (bank / health fund / employer)
Standard letter to inform a third party (bank, health fund, employer, telecom operator) of your change of address. In addition to the mandatory official declaration to the commune within 8 days.
Good to know: This notification does NOT replace the mandatory declaration to the commune within 8 days (art. 7 of the RD of 16 July 1992). Also think of: bank, health fund, employer, school/nursery, telecom/energy operator, insurers, FPS Finance (via MyMinfin).
Personalize your letter
[lieu], 2026-05-27
Sender:
[expediteur_nom]
[expediteur_adresse]
Recipient:
[destinataire_nom]
[destinataire_adresse]
SUBJECT: Notification of change of address
File / customer reference: [numero_dossier]
Dear Sir or Madam,
I inform you that I am leaving my previous address:
[ancienne_adresse]
for my new address effective on [date_emmenagement]:
[nouvelle_adresse]
I kindly ask you to update my contact details in your systems and to send me from now on all correspondence, invoices, certificates and notifications at this new address.
If applicable, I would appreciate an acknowledgment of receipt confirming the update, or an indication of any additional step (form, proof of residence) required on my side.
Yours faithfully,
[expediteur_nom]
(signature)
Fields in brackets [...] indicate what still needs to be filled in.