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FLORIDA RESIDENCY DECLARATION FOR TUITION PURPOSES (Tallahassee Community College)

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Rule 6A-10.044, F.A.C., Form FRD-1
Effective December 2015; form updated 05-01-2018 1
OFFICE OF ADMISSIONS AND RECORDS
444 Appleyard Drive Tallahassee, Florida 32304
FLORIDA RESIDENCY DECLARATION FOR TUITION PURPOSES
A Florida “resident for tuition purposes” is a person who has, or a dependent person whose parent or legal guardian has,
established and maintained legal residency in Florida for at least twelve (12) consecutive months preceding the first day of
classes of the term for which Florida residency is sought.
Residence in Florida must be a bona fide domicile rather than for the purpose of maintaining a residence incident
to enrollment at an institution of higher education.
To qualify as a Florida resident for tuition purposes, you must be a U.S. citizen, a foreign national in a non-
immigrant visa classification that grants you the legal ability to establish a bona fide domicile in the United States,
a permanent resident alien, parolee, asylee, Cuban-Haitian entrant, legal alien granted indefinite stay by the U.S.
Citizenship and Immigration Services, or other qualified alien as defined under federal law. Other persons not
meeting the twelve-month legal residence requirements may be classified as Florida residents for tuition purposes
only if they fall within one of the limited special categories authorized by the Florida Legislature pursuant to
section 1009.21, Florida Statutes (see “Qualification by Exception” below). All other persons are ineligible for
classification as a Florida “resident for tuition purposes.”
Living in or attending school in Florida will not, in itself, establish legal residence. Students who depend upon out-
of-state parents for support are presumed to be legal residents of the same state as their parents.
Residency for tuition purposes requires the establishment of legal ties to the state of Florida. A student must verify
that the student has broken ties to other states if the student or, in the case of a dependent student, his or her
parent has moved from another state.
Please print.
Student name: ______________________________ ___________________________ ______________________
Last First Middle
Date of Birth: ____/____/____ Student ID or Social Security Number: _________________________________
Student is a: [ ] U.S. Citizen [ ] Non-U.S. Citizen [ ] Permanent Resident [ ] Other
Alien Registration Number: _____________________________ Issue Date: __________________________
Visa Category_________
All non-U.S. citizen students seeking classification as a Florida resident for tuition purposes are required to submit
documentation of their legal status in the United States as issued by the United States Citizenship and Immigration
Services office.
NON-FLORIDA RESIDENT
I do not qualify as a Florida resident for tuition purposes for the term for which this application is submitted. I understand
that should I qualify for a future term, it will be necessary for me to submit an updated Residency Declaration while
providing prescribed, supporting documentation to substantiate as “reclassification” of my status. I understand being
classified as a non-Florida resident will not exclude me from the possibility of receiving a waiver to cover part or all of the
out-of-state fee as defined in s. 1009.26, Florida Statutes. Submission of an updated Residency Declaration must occur
prior to the beginning of the term for which residency is sought. I do not have to complete any further portion of this form,
with the exception of signing below.
Student Name (please print): ________________________________________________________________________
Student Signature (electronic or ink): __________________________________________________________________
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Rule 6A-10.044, F.A.C., Form FRD-1
Effective December 2015; form updated 05-01-2018 2
TO BE COMPLETED BY THE STUDENT SEEKING FLORIDA RESIDENCY FOR TUITION PURPOSES:
TERM OF APPLICATION: (check one): [ ] FALL [ ] SPRING [ ] SUMMER YEAR: ______
I qualify as a resident for tuition purposes, as defined by s. 1009.21, Florida Statutes, for the term for which this
application is submitted. I understand that it will be necessary for me to present evidence of residency for tuition purposes,
supporting my claim as a Florida resident for tuition purposes. I have read the residency information on qualifying as a
dependent or independent student, and declare that (select one of the options below):
[ ] I am a dependent student, as defined by s. 1009.21(1)(a), Florida Statutes, in that I am eligible to be claimed as a
dependent under the federal income tax code by the claimant below. The claimant is my “parent” as defined by s.
1009.21(1)(f), Florida Statutes, (i.e., either or both parents of the student, any guardian of a student, or any person in a
parental relationship to the student). My parent has maintained legal residence in Florida for at least the past 12
consecutive months. As defined by section 1009.21(1)(d), Florida Statutes, “’legal resident’ or ‘resident’ means a person
who has maintained his or her residence in this state for the preceding year, has purchased a home which is occupied by
him or her as his or her residence, or has established a domicile in this state pursuant to s. 222.17.” A copy of your
parent’s tax return may be requested to establish dependence. [Bas-Res code = B]
[ ] I am an independent person who has maintained legal residence in Florida for at least the past 12 consecutive months.
I provide more than 50% of my own support. An independent student generally includes a person who is at least 24 years
old, married, a graduate or professional student, a veteran, a member of the armed forces, a ward of the court, or
someone with legal dependents other than a spouse, pursuant to the United States Department of Education for the
purposes of federal financial aid eligibility. There may be limited cases where a person under the age of 24 years old may
qualify as an independent student. Such students will be required to verify independence (including financial
independence.) A copy of your tax return may be requested to establish independence. [Bas-Res code = A]
[ ] I meet residency requirements through one of the Qualifications by Exception below (check appropriate
exception):
QUALIFICATION BY EXCEPTION (to be completed by the student)
As provided in s. 1009.21, Florida Statutes, I qualify for residency based on the following permitted exception and
have attached the required documentation:
[ ] I am a qualified beneficiary under the terms of the Florida Prepaid College Program (s. 1009.98, Florida Statutes).
(Required: Copy of Florida Prepaid Recipient card) [Bas-Res code = J]
[ ] I am married to a person who has maintained legal residence in Florida for at least the past 12 consecutive months. I
now have established legal residence and intend to make Florida my permanent home. (Required: Copy of marriage
certificate and/or other documents required to establish residency) [Bas-Res code = D]
[ ] I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition
purposes. I am transferring to another Florida state postsecondary institution within 12 months of the previous enrollment.
(Required: Evidence of previous enrollment as a FL resident, i.e. official transcript reflecting residency status or letter from
Admission or Registrar office attesting to residency status) [Reciprocity rule, 1009.21(11); set Bas-Res Code to A]
[ ] I was previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition
purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing Florida legal residence
[Bas-Res code = E]
[ ] Active duty members of the Armed Services of the United States residing in this state and their spouses and
dependent children, and active drilling members of the Florida National Guard (Required: Copy of military orders or
DD2058 showing home of record) [Bas-Res code = G]
[ ] Active duty members of the Armed Services of the United States and their spouses and dependents attending a
Florida College System institution or state university within 50 miles of the military establishment where they are stationed,
if such military establishment is within a county contiguous to Florida (Required: Copy of military orders) [Bas-Res code
= P]
[ ] United States citizens living on the Isthmus of Panama, who have completed 12 consecutive months of college work at
the Florida State University Panama Canal Branch, and their spouses and dependent children (Required: Copy of
marriage certificate or proof of dependency) [Bas-Res code = K]
Rule 6A-10.044, F.A.C., Form FRD-1
Effective December 2015; form updated 05-01-2018 3
[ ] Full-time instructional and administrative personnel employed by state public schools and institutions of higher
education and their spouses and dependent children (Required: Employment verification letter) [Bas-Res code = H]
[ ] Students from Latin America and the Caribbean who receive scholarships from the federal or state government. Any
student classified pursuant to this paragraph shall attend, on a full-time basis, a Florida institution of higher education.
(Required: Proof of scholarship and Latin America or Caribbean residency) [Bas-Res code = I]
[ ] Southern Regional Education Board’s Academic Common Market graduate students attending Florida’s state
universities (Required: Certification letter from State Academic Common Market Coordinator) [Bas-Res code = L]
[ ] Full-time employees of state agencies or political subdivisions of the state when the student fees are paid by the state
agency or political subdivision for the purpose of job-related law enforcement or corrections training (Required:
Employment verification/payment agreement) [Bas-Res code = M]
[ ] McKnight Doctoral Fellows and Finalists who are United States citizens (Required: Verification from graduate studies)
[Bas-Res code = N]
[ ] United States citizens living outside the United States who are teaching at a Department of Defense Dependent School
or in an American International School and who enroll in a graduate level education program which leads to a Florida
teaching certificate (Required: Proof of enrollment in graduate program for FL teaching certificate) [Bas-Res code = R]
[ ] Active duty members of the Canadian military residing or stationed in this state under the North American Air Defense
(NORAD) agreement, and their spouses and dependent children, attending a Florida College System institution or state
university within 50 miles of the military establishment where they are stationed (Required: Proof of active duty
membership for specified purpose) [Bas-Res code = Q]
[ ] Active duty members of a foreign nation’s military who are serving as liaison officers and are residing or stationed in
this state, and their spouses and dependent children, attending a Florida College System institution or state university
within 50 miles of the military establishment where the foreign liaison officer is stationed. (Required: Proof of active duty
membership for specified purpose) [Bas-Res code = S]
TO BE COMPLETED BY THE CLAIMANT/PERSON CLAIMING FLORIDA RESIDENCY
Note: If the student is a dependent, the parent is the claimant and will complete this section and provide evidence of
residency supporting the claim. If the student is independent, the student is the claimant and will complete this section and
provide evidence of residency supporting the claim. No single document shall be conclusive in establishing
residency. Additional documentation, other than what is prescribed, may be requested in some cases. All
documentation provided is subject to verification. Evidence of ties to another state may result in denial of Florida
residency for tuition purposes. A COPY OF DOCUMENTS USED TO PROVE RESIDENCY MUST BE SUBMITTED
WITH THIS FORM.
Claimant/Name (person claiming Florida residency): _______________________________________________________
Claimant’s Relationship to Student: ____________________________________________________________________
Claimant’s Address: ________________________________________________________________________________
Claimant’s Cell Number: (_____) ______-________ Claimant’s Home Number: (_____) ______-_________
Date Claimant began establishing legal Florida residence (if upon birth, enter birthdate): ______/______/______
PROVISION OF DOCUMENTS TO SUPPORT CLAIM OF FLORIDA RESIDENCY
Per s. 1009.21(3)(c), Florida Statutes, the residency determination must be documented by the submission of
written or electronic verification that includes two or more of the documents identified below. No single piece of
evidence shall be conclusive.
A. Claimant must provide at least one copy of the following of his/her personal documentation:
[ ] Florida Voter's Registration Card - Number ___________________________________ Issue Date ____/____/____
Name of Florida County in which registered ______________________________
[ ] Florida Driver License - Number ___________________________________ Original Issue Date ____/____/____
Current Issue Date ____/____/____
Rule 6A-10.044, F.A.C., Form FRD-1
Effective December 2015; form updated 05-01-2018 4
[ ] Florida State Identification Card - Number _________________________ Original Issue Date _____/_____/_____
Current Issue Date _____/_____/_____
[ ] Florida Vehicle Registration - Number ____________________________ Original Issue Date _____/_____/_____
Current Issue Date _____/_____/_____
[ ] Proof of permanent home in Florida occupied as primary residence for 12 consecutive months prior to the student’s
enrollment (Required: Document such as a deed (must also provide proof of homestead exemption) or other evidence of
title to property used as primary residence; a homeowner’s policy; a title insurance policy; evidence of a property tax
payment on the primary residence; multiple leases reflecting a Florida address or a lease of multiple years’ duration)
[ ] Proof of a homestead exemption in Florida (Required: document from the county tax collector demonstrating the
application of a homestead exemption to the claimant’s primary residence)
[ ] Official transcripts from a Florida high school for multiple years (2 or more years), if the Florida high school diploma or
GED® was earned within the last 12 months
(Dates of Attendance _______________________ Graduation Date _____/_____/_____). (Required: Official transcript)
[ ] Proof of permanent full-time employment in Florida for at least 30 hours per week for a 12-month period (Required:
Pay stubs or W-2 form for past 12 consecutive months and/or written verification from employer on business letterhead,
and/or an IRS 1099 with verification of employment for the past 12 consecutive months from an employer)
B. Claimant may provide a copy of one or more documents from the following categories to demonstrate
residency in Florida (to be used in conjunction with one document from above):
[ ] Declaration of domicile in Florida in accordance with s. 222.17, Florida Statutes (file date must be a year old)
[ ] Florida professional or occupational license
[ ] Florida incorporation
[ ] Document evidencing family ties in Florida
[ ] Proof of membership in a Florida-based charitable or professional organization
[ ] Any other documentation that supports your request for resident status, including, but not limited to, utility bills and
proof of 12 consecutive months of payments; a lease agreement and proof of 12 consecutive months of payments; or an
official state, federal, or court document evidencing legal ties to Florida
RESIDENCY DECLARATION
I, the undersigned, hereby declare that I have read the foregoing document and that the facts stated in it are true and
further affirm the authenticity of the information provided on all pages of this Residency Declaration. I understand that any
false or misleading information on this Residency Declaration, or provided in support of this Residency Declaration, will
subject me to penalties pursuant to section 837.06, Florida Statutes, for making a false statement. I give permission for
the institution to review or examine any and all documents and records, including those accessible electronically, which
may assist in support of my claim as a Florida resident for tuition purposes.
Student Name (please print): _________________________________________________________________________
Signature of Student: _________________________________________________________ Date ____/____/____
Claimant Name (if not the student):____________________________________________________________________
Signature of Claimant (Electronic or ink): __________________________________________ Date ____/____/____
**A copy of the document(s) used to prove residency must be provided with this form.**
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FLORIDA RESIDENCY DECLARATION FOR TUITION PURPOSES (Tallahassee Community College)

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Completed 3 February 2021

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