FLORIDA RESIDENCY AFFIDAVIT
2021-22
Submit this form to the Questionnaire in your Workday Inbox at www.MyUTampa.edu
The University of Tampa Office of Financial Aid 401 W. Kennedy Blvd. Tampa, FL 33606
Phone: 813-253-6219 Fax: 813-258-7439 Fax: 813-258-7439 finaid@ut.edu www.ut.edu.
Revised: 9/18/2020 FLRESAFF 2122 S/S T/C
Student Name: ID#:
A Florida resident for tuition purposes is a person who has (or a dependent person whose parent or guardian has) established and maintained legal residence in Florida for
at least twelve months prior to the start of the academic term. Residency determination must be made before the end of the add/drop period of the term in which you seek
Florida Aid. Residence in Florida must be a bona fide domicile, other than for the purpose of maintaining a residence incidental to enrollment at an institution of higher education.
Other persons not meeting the twelve month legal residence requirement may be classified a Florida resident for tuition purposes only if they fall within one of the limited
special categories authorized by the Florida legislature and Board of Regents. All other persons are ineligible for classification as a Florida “resident for tuition purposes.”
Step1: I qualify as a RESIDENT for financial aid purposes as defined by Florida Statue. Check ONE category below under which you qualify.
I am an independent person and have maintained legal residence in Florida for at least 12 months. (Please refer to the backside of this form for independent student
eligibility.)
I am a dependent person and my parents or legal guardians have maintained residence in Florida for at least twelve months. (A parent or guardian must complete and
sign this form and provide copies of documents in Step 2.)
I meet residency requirements through a qualified exception- check appropriate box below
I am a dependent person who has resided for at least three years prior to initial enrollment with an adult other than my parents or legal guardian, and they
have maintained residence in Florida for the last twelve months. (Proof of dependency is required.)
I am married to a person who has maintained legal residence in Florida for at least 12 months. I have established legal residence and intend to make Florida
my permanent home. (Copy of Marriage Certificate required.)
I was previously enrolled in a Florida state institution and classified as a Florida resident for tuition purposes. I abandoned my domicile less than twelve
months ago, and am now re-establishing Florida legal residence.
According to the United States Bureau of Citizenship and Immigration Services, I am a permanent resident or other legal immigrant granted indefinite stay. I
have maintained domicile in Florida for at least twelve months. (BCIS documentation required.)
I am a member of the armed services of the United States and am stationed in Florida on active military duty pursuant to military orders, or whose home of
record is Florida or I am the member’s spouse or dependent child. (Copy of military orders or home of record required.)
I am full-time instructional or administrative employee employed by a Florida public school, community college or institution of higher education or I am the
employee’s spouse or dependent child. (Copy of employment verification required.)
I am part of the Latin American/Caribbean scholarship program. (Copy of scholarship papers required.)
Step 2: First term in which you are seeking Florida residency. Complete ONE of the following:
Fall Spring
Step 3: Provide supporting documentation. Complete ONE of the following:
First time student to UT (i.e. the person claiming Florida residency) must submit copies of TWO documents dated
at least one year prior to the start of classes
for the
term in which Florida residency designation is sought. At least one document must come from the Tier One list; the second document may come from Tier One or Tier
Two.
Continuing students claiming residency for the first time must submit THREE documents, with at least one document from the Tier One list.
Step 4: Claimant information. The claimant for dependent students is a parent or legal guardian who meets the Florida residency requirements.
Name of Claimant (if different from student): Relationship:
Permanent legal Address of Claimant:
City: State: Zip:
Telephone Number:
Non-U.S. Citizen only - Resident Alien Number: Issue Date:
(Copy of both sides of card required) (Original)
I do hereby swear or affirm that the above named student meets all requirements indicated in the checked category above for classification as a Florida resident for tuition
purposes. I understand that a false statement in this affidavit will subject me to penalties for making a false statement pursuant to 837.06, Florida statutes, and that a false
statement in this affidavit may subject the above named student to the penalties for making a false or fraudulent statement pursuant to BOR Rule 6C-6.01 (6), F.A.C.
Signature of Claimant (parent, guardian, or independent student) in ink Date
Tier One – The issue date (if applicable) must be at least 12 months prior to
start of academic term.
Florida driver’s license or identification card
Florida voter’s registration card
Florida vehicle registration card
Proof of permanent full-time employment in Florida
Proof of a homestead exemption in Florida
Student’s transcripts from a Florida high school for multiple years (if not
already submitted to UT) if the diploma or GED was earned within
the last 12 months
Tier Two – The issue date (if applicable) must be at least 12 months prior to
start of academic term.
A Florida professional or occupational license
Florida incorporation
Proof of membership in a Florida-based charitable or professional
organization
Federal IRS Tax forms (Tax Returns or Transcripts) for current and
previous year
Utility bills and proof of 12 consecutive months of payment
Lease agreement and proof of 12 consecutive months of payments
State or court documents evidencing legal ties to Florida
Declaration of domicile in Florida
