Address or Phone Number Change

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By submitting an address change, you are requesting the Colorado State Board of Land Commissioners to update ALL active leases, contracts, permits and agreements associated with your Customer Record.

Please note, the address change request affects where invoices for payment (ie. rent, bonus, consideration, etc.) are sent. Ensuring your address change information is accurate and submitted six weeks prior to billing will minimize late or missing invoices for which the customer is responsible.

Email *

Submitter's Name *

Submitter (Relationship to lessee) *

Company or Individual's Name *

Lease Number (enter the lease number(s) exactly as seen on the SLB contract and separated by a comma for multiple leases e.g., 123456, 789101, or legacy lease numbers 1234.10 or 72/3456-S). *

Please mark the appropriate selection *

Address Change

Phone Number Change

Both

Clear form

Never submit passwords through Google Forms.

This form was created inside of State.co.us Executive Branch. Report Abuse

Forms