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As a registered insurer, you must inform us within one month of any change to your business entity or trader details.


Gather required details

You need the following information to complete the Change of Contact Details General Form 3:

  • SRO customer number,
  • New customer details, including business trading name, ABN/ACN, and
  • Details of authorised representative (if applicable)

If an agent is submitting the form on your behalf, they must supply a signed letter of authority which you must lodge with the form.


Prepare your notification

The form can be completed:

  • On screen, printed and signed, or
  • Downloaded as a PDF, printed, completed and signed

Either way, the form must be signed prior to lodgement. If completing the form by hand, please use block letters in blue or black ballpoint pen.



Send your notification

Send the form (and a letter of authority, if applicable) using one of these methods:


Email to with a subject line "Insurance - Change of Contact Details General Form 3".


Mail to:

State Revenue Office
GPO Box 1641
VIC 3001


State Revenue Office
DX 260090


Fax to 03 9628 6851 with a covering page entitled "Insurance - Change of Contact Details".

Next steps

We will contact you in writing to acknowledge we have updated our records.