Change of Information Form

Proofs of Residency

Proofs of Residency

One of the following proofs of residency must be provided:
A. Owns home
1. Most recent utility bill/ tax or mortgage statement – must have name and property/residence address
OR
B. Rents home
1. Lease agreement, must have name property/residence address
2. Parent’s name must appear on lease
3. Most recent utility bill – one only (electric, phone, water bill, oil) must have name and property/residence address
OR
C. Affidavit of Property Owner/Landlord Form – Must be Notarized
1. To be completed by the landlord/property owner, in instances where there is no lease. If you are living with a relative, that person must complete the form and also provide a bill (electric, phone, water) showing their name and property/residence address

*Please note: the following will not be accepted as proof of residency: Driver’s License, Checkbook, Rent Receipt, Car Insurance Cards, and Bank Statements.

Required

School where change was requested:required

Family/Household name:required

Name of child(ren) in school:required

Parent/Guardian:required

First Name

Last Name

Form completed by:requiredBy typing your name, you are electronically signing this form

First Name

Last Name

By typing your name, you are electronically signing this form

Directions: Complete ONLY those sections where a change is requested. Addresses will NOT be changed without proper proof of residency attached.

Phone numbers will be verified. Please prioritize contact numbers.

Old Information

Previous Address, City, Zip

Previous Household Phone Number

Previous Parent/Guardian Work Phone

Previous Parent/Guardian Cell Phone

Emergency Contact

Other

New Information–Requested Change

New Address, City, Zip

Proof of Residency (if address change is requested)

Attach up to 1 file with a maximum size of 10MB

No file chosen

New Household Phone Number

New Parent/Guardian Work Phone

New Parent/Guardian Cell Phone

Emergency Contact

Other