The Professional Institute of the Public Service of Canada » Services » Membership Information » Change of address

Change of address

You can click here to access the secure version (https) of this form. Please note that some employers may not allow secure access to our website so you may have to do this from home.

Member Data Form

In addition to providing us with the changes to your datafile, we urge you to fill in ALL the details below to enable us to verify the accuracy of the other data we have on file.

Be sure you answer the question at the bottom of the page...How do you want to receive Institute information?

NOTE: The highlighted boxes MUST be completed before the form can be submitted - the data is critical to us if we are to ensure we are amending the right file (example... we have three CS members who have the same name and work in the same department!). Your phone number will enable us to reach you should we have questions.

* Required Fields

Information

First Name*

Last Name*

Membership Number*

Group or Bargaining Unit

Name of Employer/Department

Language Preferred

Home Mailing Address

Address

City

Province/Territory

Postal Code

Telephone (Include Area Code)

Fax (Include Area Code)

Home E-Mail Address

Work Address (actual physical address)

Address

Building

Floor

Room

Unit

City

Province/Territory

Postal Code

Telephone (Include Area Code)

Ext.:

Fax (Include Area Code)

Work E-Mail Address

How do you want to receive Institute Information?

Comments

Verification code :

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E-Mail

Change of address

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