This form is used to submit a request to change an exist contact.
Display the existing contact information in a read-only format.
(Stakeholder ID, Given Names, Last Name, Mailing Address).
Provide any changes in addition to the requestors name phone number and click the SUBMIT REQUEST button.
Click Return to Registration Maintenance link to go to Registration Maintenance screen.
Click Return to Registration List link to go to Registration List screen.
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Given Names: |
Enter the contact individual given name |
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Last Name: |
Enter the contact individual last name |
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Date of Birth: |
Date of birth |
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Gender: |
Select Male/Female |
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Home Phone: |
The home telephone number including area code. Extension is optional. |
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Work Phone: |
The work telephone number including area code. Extension is optional. |
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Cell Phone: |
The cell telephone number including area code. Extension is optional. |
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Email Address: |
Enter contact email address |
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Mailing Address: |
Enter full address including City, Prov and Postal Code. |
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Requested By: |
Enter the person who requested |
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Contact Phone: |
Enter request by contact phone including area code. |
The changes will NOT be available until they have been processed by the AGLC, usually on the next business day.