The notification should be submitted to the relevant
Mayor or Council Chairman´s office or a police station.

Notification no.

Instructions

Students residing in another munici-
pality because of their education
can retain their original domicile. A
request to that effect should be entered
in the form under Comments. A
certificate from the school in question
must be enclosed.

A special form must be filled in, signed
by both cohabiting partners.

Cohabiting partners with children
must submit certification of their
breakup from the District Commissioner
concerned; otherwise the notification
of change of address will not be taken
into account.

The notification must be accompanied
by a written consent from the child´s
custodian/custodians or person with
whom the child was last registered.

If a divorce is planned, this should
be mentioned in Comments. In the
event of a separated couple taking up a
joint residence again, this should be
mentioned under Comments.

Please list all persons moving together

Comments

To be filled by recipient authority

To be filled by notifying person

New address

Previous address

Date of moving (day, month, year)

Full name

Identification number

Marital status

Signature and stamp

Date of reception

Signature

Date

Workplace tel:

Please write clearly

Home tel:

1

2

3

4

5

6

7

Address (street/house, house number)

Address (street/house, house number)

Municipality

Municipality

01-03

J2060 · ODDI HF

.

Notification of change of address in Iceland

Change of address must be notified within 7 days

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—

—

—

—

—

—

Flat (number/floor) if applicable

Flat (number/floor) if applicable

Students

Date of commencing cohabitation

Breakup of cohabitation

Change of address for children under
18 years of age

Either spouse changes his or her
address

svart

Próförk nr

.

Unnin af

Þinn tengiliður

Samþykkt Samþ. m. aths.

V

insamlegast kvittið og endursendið.

Undirskrift

p130