The Department of Justice is collecting your personal information for the purpose of changing your details on
the Justice of the Peace register maintained under the Justices of the Peace Act 2004, and ensuring our
contact and communication details for you are accurate and up to date.
Your name, updated address and particulars of appointment will be publicly accessible on the Register, in
accordance with s.15 of the Justices of the Peace Act 2004.
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Justice of the Peace
Change of address and contact details
JP Registration number:
Previous address:
New address:
New postal address:
Residential phone:
Mobile phone:
Email address:
Business address:
Business phone:
Are you a member of any of the following JP associations? If so, please tick below:
Royal Association of Justices of WA [Inc]: Yes No
Fremantle Association of Justices [Inc]: Yes No
Western Australian Regional Association of Justices [Inc]: Yes No
Justices of the Peace Alliance of Western Australia [Inc]: Yes No
Signature: _____________________________
Please complete and return to the JP branch
Level 12, Golden Square, 32 St Georges Terrace, Perth, Western Australia 6000
GPO Box F317 Perth Western Australia 6841
Phone: 9425 2827 Email: