Follow the steps to complete the Change Of Address Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the member information section, enter your ID number. This is a unique identifier assigned to you by Amerigroup, and it is essential for processing your request.
3. Provide your first name and last name. Ensure the names match what is on your official documents to avoid any discrepancies.
4. Input your date of birth in the designated field. This helps confirm your identity.
5. Fill out your previous address details including street address, city, state, and ZIP code. This is necessary to track your previous location.
6. Enter your previous telephone number in the appropriate space. This should be a number where you can be reached for any follow-up questions regarding your application.
7. Now, provide your new address. Make sure to include all specifics: street address, city, state, and ZIP code.
8. Next, enter your new telephone number. This will be the contact number for any updates regarding your address change.
9. Indicate the name of the person requesting the change, if it is not the member themselves. This can be a trusted individual assisting you with the process.
10. Specify the relationship of the person requesting the change to the member. This helps verify the authorization for changing the member's address.
11. Once all fields are completed, review your entries for accuracy. It is important to ensure that all information is correct to avoid delays.
12. Finally, save your changes, download the completed form, and print or share it as necessary. Be sure to keep a copy for your records.

Ensure a smooth transition by completing your Change Of Address Form online today.