Change of Scheme Administrator / Practitioner Details
 
  Select Scheme Administrator / Practitioner
details to be changed
Administrator Practitioner
  Administrator ID  
  Practitioner ID  

  Select Individual / Organisation Individual Organisation  

Enter Old Details
Enter New Details
  Title   Title
  Surname   Surname
  Forename   Forename
  Second Forename   Second Forename
  Address   Address
       
  Postcode   Postcode
  Country   Country
  Telephone   Telephone
  E-Mail   E-Mail
  Organisation Name   Organisation Name
  Address   Address
       
  Postcode   Postcode
  Country   Country
  Telephone   Telephone
  E-Mail   E-Mail

Mode of Communication
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  Do you want all your Relief at Source records updated with these new details? Yes No