Current Design

Current Address/Residence

Address	Length of Stay
Street # Street Name Unit # City Province Postal Code Country Use this address as Mailing address	# of Years # of Mths

Address History - current plus history must total at least 5 years(60 months)

Address	Length of Stay	Action
Street # Street Name Unit # City Province Postal Code Country Use this address as Mailing address	# of Years # of Mths

Suggested Design

Current Address/Residence

Address	Length of Stay
Street # Street Name Unit # City Province Postal Code Country Use this address as Mailing address	# of Years # of Mths

Address History - current plus history must total at least 5 years(60 months)

Address	Length of Stay	Action
Street # Street Name Unit # City Province Postal Code Country Use this address as Mailing address	# of Years # of Mths