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Update Contact Information

  1. High Res Patch Logo
  2. Contact Information Form
    Update your contact information for changes in mailing address, phone number, Email or name changes due to marriage/divorce or decree.
  3. If different than Service Address
  4. Valid State or Federal Identification ie., driver's license, state ID, military ID, Passport OR proof of legal name change ie., divorce decree, marriage license etc.
  5. Leave This Blank:

  6. This field is not part of the form submission.