Fillable CERTIFICATE OF RESIDENCY STEP-BY-STEP INSTRUCTION SHEET (Teton County Idaho)

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CERTIFICATE OF RESIDENCY STEP-BY-STEP INSTRUCTION SHEET (Teton County Idaho)

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U.S.A. forms for Teton County Idaho

BROWSE TETON COUNTY IDAHO (ID) FORMS

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1. Determine whether completing this form will be beneficial to you (the student).
a. If you are a legal resident of a county in Idaho other than Ada, Canyon, Kootenai, Jerome or Twin Falls, you
may complete this form and submit it to that county for consideration of tuition and fee assistance.
2. Determine whether you are eligible for county assistance.
a. To be eligible for county assistance, the board of county commissioners of the county of your residence must
verify your legal residence.
b. Residency is explained in Idaho Code §33-2110B. The residence of a minor shall be deemed the residence of the
parent(s) or court-appointed guardian.
3. Obtain your current Idaho EDUID # and your College Student ID #.
a. Each high school student taking community college courses has two identifying numbers. These numbers are
very important in order for your Certificate of Residency to be properly processed. Not providing both correct
student identification numbers may result in a denial of your application for county assistance.
b. Your EDUID # can be obtained from your high school guidance counselor. If you are not a high school student,
you do not need to provide an EDUID #.
c. Your College Student ID # is assigned by your community college and may be found when you logon to your
profile on the community college website or it may be referred to in notices or correspondence to you from your
community college. You may also obtain your College Student ID # by contacting your community college
Student Accounts Department.
4. Fill out the form and gather adequate documentation.
a. To be approved for county assistance, you must complete this form in its entirety and provide appropriate
documentation to your county of legal residence. Additional documentation may be required by the county to
determine residency. Timeliness in submitting the form and documentation is your responsibility.
b. If you are 18 or older, attach the following:
i. A copy of your government-issued identification that shows 1) a picture of you, 2) your address, and 3)
your signature.
ii. If you do not have government-issued identification as required above, then attach documentation that
shows where you have been living for the past 12 months, such as the following: Idaho state income tax
form; utility bills; lease agreement.
c. If you are under 18 years old, attach the following:
i. A copy of your government-issued identification that shows 1) a picture of you, 2) your address, and 3)
your signature.
ii. A copy of your legal guardian’s government-issued identification that shows 1) a picture of your
guardian, 2) your guardian’s address, and 3) your guardian’s signature.
iii. If you do not have government-issued identification as required above, then attach documentation that
shows where you and your legal guardian have been living for the past 12 months, such as the following:
Idaho state income tax form; utility bills; lease agreement.
d. Some counties may require additional information and documentation.
5. Remit in person, by mail, or scan and email a completed Certificate of Residency and accompanying
documentation to your county clerk before September 15 if you plan to take classes in the Fall semester, and
before February 15 if you plan to take classes in the Spring semester. Failure to comply with these deadlines may
result in the denial of county assistance for that semester. Contact information for most counties is located at:
http://idcounties.org/counties/
6. Watch for notification of county decision regarding your certificate.
a. If you submitted this form before the due date, the county will notify you and the community college by email
and/or mail within 30 days of the date of submittal.
7. Pay any tuition and fees that you owe.
a. If the county approves your certificate of residency, you must pay the tuition and fees charged a resident student.
b. The maximum benefit that you can receive from the county for community college out-of-district tuition is five
hundred ($500) per semester, for a lifetime maximum of three thousand dollars ($3,000) (Idaho Code
§33-2110A).
c. If the county does not approve your certificate, you must pay the college the nonresident student tuition amount
as well. You are ultimately responsible to pay all tuition and fee charges.
8. Re-file this certificate form when you change your county of residency, or at the beginning of each academic year,
whichever occurs first.
Rev. 2016-01-29
CERTIFICATE OF RESIDENCY – STEP-BY-STEP INSTRUCTION SHEET
CURRENT PDF FORM TO DOWNLOAD AND PRINT:
http://idcounties.org/wp-content/uploads/2015/07/Certificate-of-Residency-Fillable-PDF-Form-2016_01_29.pdf
CERTIFICATE OF RESIDENCY
Type of Student: (check one)
☐
Dual Credit Fast Forward
☐
Dual Credit for Early Completers
☐
Post High School Credits
Assistance is requested from:
__________________________________________ County
Enrollment Dates: (Academic Year yyyy-yyyy) 20____ - 20____
☐ Fall & Spring ☐ Fall Only ☐ Spring Only
Student’s Grade Level: (High School)
☐ Freshman ☐ Sophomore ☐ Junior ☐ Senior ☐ Post-Secondary
School Providing Course(s)/Dual Credit(s): (check all that apply)
☐
College of Southern Idaho
☐
College of Western Idaho
☐
North Idaho College
Idaho EDUID #:
____________________
College Student ID #:
__________________
Student Contact
Information
and Residence
First Name:
M.I.
Birth Date (mm-dd-yyyy):
Phone #:
Current Academic Year (yyyy-yyyy)
20____ - 20____
SSN:
Email address:
Current Mailing Address:
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Current Physical Address: (if different than mailing address)
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Previous Mailing Address:
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Previousf Physical Address: (if different)
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Dates of Residency at Current Address:
(mm/dd/yyyy)__________________________ to current
Dates of Residency at Previous Address:
(mm/dd/yyyy) _____________ to (mm/dd/yyyy) _____________
Parents
OR Court-
Appointed
Guardian
Parent/Guardian First Name:
M.I.
Parent/Guardian Email address:
Phone #:
Current Parent/Guardian Mailing Address:
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Current Parent/Guardian Physical Address:
_______________________________ County:_____________
City:_____________________ State:__________ Zip:_______
Dates of Residency at this Address: (mm/dd/yyyy)____________________________ to current
Residency Specifics
(Check and complete all that apply)
☐
I am a registered voter in ______________________ County.
☐
My vehicle is registered in _____________________ County.
My license plate number is: __________________________.
☐
My parent(s) or court-appointed guardian(s) have lived in
_______________ County for at least 12 consecutive months
prior to the start of the term in which I am enrolling.
☐
My parent(s) or court-appointed guardian(s) provide more
than 50% of my financial support.
☐
I provide more than 50% of my support and have lived in
_______________ County for at least 12 consecutive months
prior to the start of this term. (continued in next column )
☐ I am on active military orders and am stationed at
__________________________________ and residing in
______________ County. (Please attach copy of orders)
☐
I was honorably discharged after serving 2 years and
designated ____________________ County as my residence.
(Please attach a copy of the DD214 form)
☐
I am a resident of ____________________ County but have
been living in another county for less than 1 year and have
not established residency.
☐
I have received tuition assistance from another county.
(List all counties and dates below) ____________________
________________________________________________
Docum
en-
tation
I have attached a copy of at least ONE of the following to prove my residency in this county (check all that apply):
▪ For the student:
☐
The student’s government-issued identification
☐
Other: ________________________________________
▪ Student’s parent/court-appointed guardian (required if the student is a minor):
☐
Student’s parent/court-appointed guardian government-issued identification
☐
Other: ______________________________
I certify that all statements I have made in this Certificate of Residency are complete, true and correct.
Student’s Signature:
X
Parent or Court-Appointed Guardian’s Signature: (required if student is a minor)
X
Date: (mm-dd-yyyy)
Date: (mm-dd-yyyy)
For County Use Only Below this Line
This Certificate of Residency has been: ☐ Approved ☐ Denied
Reason, if denied: ☐ Non-residency ☐ Lifetime limit met ☐ Incomplete Application ☐ Other: _______________________________
By: _____________________________________ Attest: ___________________________________ Date:_________________________
Rev. 2016-01-29
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CERTIFICATE OF RESIDENCY STEP-BY-STEP INSTRUCTION SHEET (Teton County Idaho)

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Completed 18 July 2020

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