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Verification

Address Verification Form

Confirms whether the address a person provided is their permanent residence and how long they've lived there, with space for further clarification.

What's included

• Full Name
• Email Address
• Phone Number
• Address
• Is this address your permanent residence?
• If no, please provide your permanent address:
• How long have you lived at this address?
• Please provide any additional comments regarding your address verification:

1 page(s) · 8 fields