CHANGE OF ADDRESS
To officially change your student’s address, you are required to provide TWO address verification
documents, dated within the last 60 days
. You must do this even if you have notified your child’s school of the new
address. Acceptable documents are listed below. No
envelopes, advertising or correspondence accepted.
Please check the documents you have included with this notice.
Seattle City Light Bill PSE Bill Other Utility Bill Lease/Mortgage Document
Cable Bill Internet Bill Landline Telephone Bill Court Document
Insurance Document DSHS Document Tax Document Other
Move Effective Date: ____________________________________
___________________________________ ______________________________ ______________________
Last Name of Student First Name Student ID or Birth Date
_________________________________________________ __________ ______________________ ___________ _____________
New Street Address Unit No. City State Zip Code
____________________________________________________________________________ _____________________ _____________________
Email Address Home Phone No. Cell Phone No.
_________________________________________________ _______________________________________ ______________________________
PARENT/GUARDIAN SIGNATURE PLEASE PRINT NAME DATE
Additional children attending Seattle Public Schools that live at this new address. Write clearly.
_______________________________________________ _____________________________________ ______________________
Last Name First Name Student ID/Birth Date
_______________________________________________ _____________________________________ ______________________
Last Name First Name Student ID/Birth Date
_______________________________________________ _____________________________________ ______________________
Last Name First Name Student ID/Birth Date
_______________________________________________ _____________________________________ ______________________
Last Name First Name Student ID/Birth Date
Email/Fax/Mail or Bring Your Information To:
Email Address: admissions@seattleschools.org
Mailing Address Seattle Public Schools
Service Center
PO Box 34165
Mail Stop 11-174
Seattle, WA 98124-1165
Fax Number: (206) 252-0761
Telephone: (206) 252-0760
Street Address: John Stanford Center
2445 – 3
rd
Avenue South
Seattle, WA 98134
(3
rd
& Lander)
Pursuant to Board Policy 3119, falsification of an address or residence (or conditions of living arrangement) to obtain a school assignment will be cause for the revocation of the student’s
school assignment and return to the proper school of assignment. Revised 10/30/14
