Region of Waterloo Form

Home/Regional Government/Provincial Offences Court and Traffic Tickets

Required fields are marked with asterisks (*)

Provincial Offences Court

Change of Address

Ticket/File Number (ex: 4460 999 00 5861234Z 00 or 4460 999 20 12345 00)

Do you have more than one ticket?

Yes

First Name

Last Name

Driver's Licence Number

Date of Birth

New Address

Unit Number

City/Town

Postal/Zip Code

Phone Number (10-digits)

Email Address

Submitted By

Date

*Note: This change of address can only be made for offences you have from the Region of Waterloo. This change will not apply to other offences in other Cities/Municipalities and does not update with Service Ontario.