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Notice of Change of Address or Other Contact (MC-040). Give the court and the other parties your new address or other contact information.The person who served the notice must complete this proof of service.) CASE NUMBER: PROOF OF SERVICE BY FIRSTCLASS MAIL. A Change of Address (COA) request can be temporary or permanent. Humana members can access important documents and forms related to coverage including disenrollment and claims forms. Use these application instructions to fill out the forms that are posted in your funding opportunity announcement. View the How to Apply Video Tutorials.