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Member change of address form 2026
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- Click ‘Get Form’ to open the member change of address form in the editor.
- Begin by filling out your updated information in Section A. Enter your last name, first name, and gender. Provide your date of birth, address, province, town/city, postal code, union ID or social insurance number (SIN), country, email address, and telephone number.
- Indicate your marital status by selecting one of the options: married, common-law, single, separated, divorced, or widow. Don’t forget to include your cell number for additional contact.
- In Section B, provide your previous contact information. Fill in your previous address details including apartment/house number, city, street name, postal code, and previous phone number.
- Section C requires you to authorize the update of your member profile. Print your name and sign the document along with the date and a witness signature.
- Once completed, save the document and return it via fax at 416.240.7488 or email it to info@liunacare183.com.
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Related links
To update your CalPERS address, use this form and ensure that you sign and date it. Submit this completed form by mail to: CalPERS, P.O. Box 942715 Sacramento,
Completion of this form will change your address for personnel, health insurance and payroll only. CSEA Membership Dept. at (800-342-4146)