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Contact Info Form

It's important that we keep all your contact information up-to-date. We ask you to please take a minute or two to fill out the below form. The SSN and Date of Birth fields are required to help us authenticate your submission. If you have any questions, please feel free to contact us at [email protected] or (800) 836-3711. 

  • ID Type



  • Contact Information

  • Changes to your address will apply to all your accounts unless you check the box below and provide the specific account numbers which will use this address.

  • If the address change is an additional address, to be used ONLY for a specific period of time, please check the box below and provide the dates that you will receive mail at this address.

  • By checking this box, I agree to allow Chemung Canal to update my address as listed above.