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Change of Address Form

  • Date:
  • Employee Name:
  • Address:
  • Town:
  • State:
  • Zip Code:
  • Phone Number:
  • Email Address:
  • Date of Birth:
  • Social Security #:

Please mail to:
Brimfield Treasurer-Collector
P.O. Box 30
Brimfield, MA  01010

Or, drop in the Treasurer mailbox at the Town Hall Annex, or email.

Thank you,
Rod Kincaid Treasurer-Collector
413-245-4100 x1106