Address or IVR PIN Change Form This form is to be used for obtaining a new, temporary Personal Identification Number (PIN) for access to child support case information through the Interactive Voice Response (IVR) telephone system, or it may be used to notify the MiSDU of a change of address. Check the appropriate box, complete and return to the address noted on the form. Mail this Form to: MiSDU Attn: Address/PIN Change PO Box 30354 Lansing, MI 48909 - 7854 FAX: 517-318-4697 Your Name (Please Print): Last First Middle Phone Numbers: Home Phone Work Phone Other Phone Previous Address: (Complete this line only if a change of address is being requested.) Number/Street/Apt# City State/Zip Country (if not US) Current / New Address: Number/Street/Apt# City State/Zip Country (if not US) Social Security Number: Case ID or Court Case (Docket) #: (Identify One Case Number, but Multiple Cases May be Paid in a Single Deposit.) Number County Check the appropriate box: I hereby request the issuance of a temporary PIN. This temporary PIN will be the last four digits of my social security number and will be available within approximately five business days. I may then use that PIN, but also I understand that I must create a different PIN at the time I use this temporary PIN. I should not provide the PIN to any unauthorized person. I hereby request a change of address for mailing and identification of my residence. Sign Here: DATE: You must still change your address at the Friend of the Court or you will not receive important legal papers. This notification must be in writing. American LegalNet, Inc. www.USCourtForms.com