Contact Information Change Request

 Please complete this form if you need to update your address with the Mesa City Prosecutor’s Office. 

 

Full Name

Date of Birth

Last 4 digits of SSN

Docket Number

Mailing Address

Primary Phone
 

Primary Phone Type (cell, home, work, etc.)

Secondary Phone

Secondary Phone Type (cell, home, work, etc.)

Email Address


To change your personal contact information with the Mesa Municipal Court, you must appear in person with identification.

 I understand that this form  is intended solely for the use of crime victims to submit information to the Prosecutor’s Office, and that any person not authorized to provide information for the crime victim or anyone who knowingly submits information that is untruthful or false, may be subject to prosecution. I confirm that I am the person named above or have permission from the person named above to submit information on their behalf.