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Update Contact Information

2. Update Contact Information
   Please fill out all fields below to update your contact information through the Hays Municipal Court.
4. Date of Submission*
   Date of Submission

   Date of Submission
5. Full Name*
   Please include any hyphenations and your middle name.
7. Current Address*
   Please list your current mailing address including City, State and Zip Code
9. Phone Number*
10. Email Address*
12. Secondary Phone Number
13. Secondary Email Address
15. Case Number
16. Type of Citation
18. Electronic Signature*

    1. By checking this box, I certify that all of the information is true and accurate to the best of my knowledge.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field