EmailMe Form - TERRE HAUTE CITY COURT ADDRESS CHANGE

DEFENDANT NAME *

First MI Last

TERRE HAUTE CITY COURT CASE NUMBER *

Format will be 84H01-####-IF or CM or OV-######. Example 84H01-2601-IF-009999. Please visit https://Mycase.In.Gov to locate your case number

CURRENT MAILING ADDRESS *

Street Address City State / Province / Region Postal / Zip Code

If your current mailing address is a PO Box, please complete the information below for physical address

CURRENT PHYSICAL ADDRESS - only complete if mailing address is PO Box

Street Address City State / Province / Region Postal / Zip Code

Complete these fileds if your current mailing address is a PO Box

DEFENDANT DRIVER'S LICENSE NUMBER OR IDENTIFICATION CARD NUMBER *

Defendant must enter their driver's license number or identification card number for verification purposes.

ISSUING STATE FOR DRIVER'S LICENSE OR IDENTIFICATION CARD *

CURRENT TELEPHONE NUMBER *

### - ### - ####

TEXT MESSAGE UPDATES

By checking this box I agree to receive text message updates and understand there may be additional fees assessed by my cell provider. You will receive text message reminders for upcoming court dates only.

DEFENDANT AGREEMENT *

By completing and submitting this form, you affirm that you are the Defendant and the information contained on this form is accurate.