Fillable Florida Residency for Tuition Purposes Request (University of South Florida)

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Florida Residency for Tuition Purposes Request (University of South Florida)

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The Florida Residency for Tuition Purposes Request (University of South Florida) form is 6 pages long and contains:

  • 2 signatures
  • 42 check-boxes
  • 100 other fields

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File type: PDF

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_______________________ _____________________________________________________________________________
USFID Last Name First Name MI
__________________ _________________________ _________________________________________________________________
Date of Birth Phone Number Email
_____________________________________________ ________________________________________________________
Student’s First Term at USF (Term/Year) Term Seeking Residency (Term/Year)
_____________________________________________ ________________________________________________________
Level: Undergrad, Graduate, Non-Degree, Professional Student’s Last College Attended/Dates of Attendance
Student Information
Dependent/Independent Status (Check category that applies to student)
By the rst day of the term for this request, I am:
Under 24 years of age AND
My parents/legal guardian claim me for tax purposes, and 50% or more nancial
support provided by another individual. (DEPENDENT - parent/legal guardian is
claimant)
OR
I provide 51% of my nancial support at the IN-STATE cost of attendance rate.
(INDEPENDENT - student is claimant) Financial independence worksheet must be
completed. (Required: copy of tax transcripts from parents and student from prior
year to verify independence.)
OR
I am enrolled in graduate school, or married, or active duty military, or a legally
emancipated person, or an unaccompanied homeless youth determined
by a school district or homeless liaison, or have a dependent in which receives more
than half his/her support from me. (INDEPENDENT - student is claimant)
24 years of age
or older (INDEPENDENT)
I meet residency
requirements through one
of the qualications by
exception (see page 4)
Below pertains to the claimant. The “claimant” is the person claiming Florida residency. The spouse/parent/legal guardian is the claimant, if
the student is a dependent, all documentation must support the spouse/parent/legal guardian’s information. If the student is the claimant, all
documentation must support the student as claimant.
Name of Claimant _________________________________________________________________________________
The Claimant is: Student Parent/Legal Guardian Spouse* Other**
**If other, elaborate _______________________________________________________________________________
*Copies of legal documentation including proof of marriage or court documents must be submitted with this residency request form.
**Other = Dependent child living with an adult relative other than the child’s parent, such child may qualify as a resident for tuition purposes if
the adult relative is a legal resident who has maintained legal residence in Florida for at least 12 consecutive months immediately before the
child’s initial enrollment in an institution of higher education, provided the child has resided continuously with such relative for the 3 years
immediately before the child’s initial enrollment in an institution of higher education, during which time the adult relative has exercised
day-to-day care, supervision, and control of the child. Provide past three years tax transcripts.
Date claimant established residency in Florida ___________________________________________________________
________________________________________________________________________________________________
Claimant’s Current Address City State Zip
Claimant Information
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
residency@usf.edu
Is the STUDENT a U.S. Citizen? Yes No If no, status _______________________________
Resident Immigrant Number (Non-U.S. Citizen only) __________________ Issue Date ______________ Exp. Date ______________
If the student is not the claimant:
Is the CLAIMANT a U.S. Citizen? Yes No If no, status _______________________________
Resident Immigrant Number (Non-U.S. Citizen only) __________________ Issue Date ______________ Exp. Date ______________
Citizenship
The student and claimant (if not the student) must be eligible to apply for Florida residency for tuition purposes. To qualify as a
Florida resident for tuition purposes, you must be a U.S. citizen, a foreign national in a nonimmigrant visa classification that
grants you the legal ability to establish a bona fide domicile in the United States, a permanent resident alien, or a legal alien
granted indefinite stay by the U.S. C.I.S. Copies of visa/immigration documents for student and claimant required
Intent
Why did the claimant move to Florida? State statute is very specific about who is eligible to receive in-state tuition. If the primary
reason you moved to Florida was to pursue an education, you are NOT eligible to receive in-state tuition. (As stipulated in Section
1009.21(2)(a)2, F.S., “it is imperative that the required 12 month qualifying period be for the purpose of maintaining a bona fide domicile
rather than for the purpose of maintaining a mere temporary residence or abode incident to enrollment in an institution of higher education.”
In other words, if you moved to Florida to get a degree from the University of South Florida (USF), you are not eligible
to receive in-state tuition.)
Please keep in mind that your reason cannot be for educational purposes or you will automatically be ineligible to receive in-state tuition.
It is also difficult to justify your move for other than educational reasons, if you immediately start school as a full-time student
upon moving to the state.
Provide compelling evidence for residency for tuition purposes at USF. (Examples: employment opportunity, family ties, etc.)
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
residency@usf.edu
Documentation for Claimant
Provide THREE forms of documentation that are dated 12 MONTHS IN ADVANCE of the first day of the term in which you are
requesting updated residency for tuition purposes. At least one document must be from section A. Copies of documents required.
Section A
Florida Driver’s License or ID Number ____________________________ Issue Date _____________________
Vehicle Registration Number (VIN) _______________________________ Issue Date _______________________
Florida Voter Registration Number ________________________________ Issue Date ______________________
Employment Verification - Proof of permanent full-time employment in Florida for at least 30 hours per week for a consecutive
12-month period. (Required: 12 consecutive months of paystubs, or a letter of employment verification)
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
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 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, or a lease of multiple years’ duration).
Homestead Exemption
Proof of bona fide domicile: The claimant must prove physical presence and maintain a full-time bona fide domicile for 12 consecutive months or
more prior to the term seeking residency for tuition purposes. The domicile must be where the claimant has resided full-time for 12 consecutive
months. Select the choice that applies to the claimant through deed, homestead exemption, or lease of multiple years’ duration.
Section B
Lease for apartment/house, provide copy of lease agreement and proof of payment (ledger) for all 12 months
Florida professional/occupational license, provide copy of documentation
Florida incorporation, provide corporate verification
Membership in Florida charitable or professional organization, provide proof of membership
Documentation of family ties in Florida - notarized letter from a relative indicating relationship and copy of their Florida ID
Declaration of domicile (Obtained from the Clerk of Circuit Court in the County Court of Florida in which you claim permanent
domicile.)
Any other documentation that supports your request status, including, but not limited to, utility bills and proof of 12
consecutive months of payments; or an official state, federal, or court document evidencing legal ties to Florida.
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
residency@usf.edu
Qualifications by Exception
If you meet the requirements for one of the following exceptions, please check the box next to the exception and attach the required
documentation listed below.
I am a(n):
Florida resident for tuition purposes at a Florida public institution of higher education, but abandoned Florida domicile, and then re-enrolled
in Florida within 12 months of the abandonment, and will maintain the re-established domicile during the period of my enrollment. (This
benefit only applies one time.) (Required: Copy of enrollment verification or official transcript during absence from Florida.)
Student previously enrolled at a Florida state postsecondary institution and classified as a Florida resident for tuition purposes at that
institution and I am transferring to another Florida state postsecondary institution within 12 months of the previous enrollment.
Active duty member of the U.S. Armed Forces residing or stationed in Florida (or a dependent); or an active drilling member of the Florida
National Guard; or military personnel not stationed in Florida whose home of record or state of legal residence certificate is Florida (or
dependent). (Required: Form DD-2058)
Active duty member of the U.S. Armed Forces (or a spouse or a dependent) attending public college or university within 50 miles of the
military establishment where the service member is currently stationed, if such military establishment is within a county contiguous to
Florida. (Required: Copy of military orders)
United States citizen living on the Isthmus of Panama, who has completed 12 consecutive months of college work at the Florida State
University Panama Canal Branch, or a spouse and dependent child. (Required: Copy of enrollment certification and marriage
certificate or proof of dependency)
Full-time instructional and administrative employee of Florida public school system or institutions of higher education as defined in
[s.1009.21(10)(d), F.S.] or spouse/dependent child. (Required: Copy of employment verification)
Student from Latin America and the Caribbean who receive scholarships from the federal or State of Florida and is enrolled in a full-time
basis. (Required: Copy of scholarship papers and proof of Latin America or Caribbean residency)
Southern Regional Education Board’s Academic Common Market graduate student. (Required: Certification letter from state
coordinator)
Full-time employee of a State of Florida agency or political subdivision whose student fees are paid by the state agency or political
subdivision for the purpose of job-related law enforcement or corrections training. (Required: Copy of employment verification)
McKnight Doctoral Fellow and Finalist and also a U.S. citizen. (Required: Verification from Graduate Studies)
U. S. Citizen living outside the U.S. who is teaching at a Department of Defense Dependent School or in an American International School,
and is enrolled in a graduate level education program that leads to a Florida teaching certificate.
Active duty member of the Canadian military residing or stationed in this state under the North American Air Defense (NORAD) agreement,
(or a spouse/dependent) attending a Florida Colleges and Schools (FLCS) or state university within 50 miles of the military establishment
where the service member is stationed. (Required: Proof of active duty membership for specified purpose)
Active duty member of a foreign nation’s military who is serving as a liaison officer (or a spouse/dependent) and residing or stationed in this
state within 50 miles of the military establishment where the foreign liaison officer is stationed and is attending a Florida Colleges and
Schools (FLCS) or state university. (Required: Copy of military orders)
Qualified beneficiary under the terms of the Florida Prepaid College Program. (Required: Copy of Florida prepaid ID card)
Spouse married to a person who has maintained legal residence in Florida for 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)
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
residency@usf.edu
Name of Employer
Employment Dates
Rate of Pay
Hours per Week
Submit paystubs for proof of employment
Source
Academic Year
Amount Awarded
List any scholarships below for the previous 12 months/domicile year
Source
Amount
Method of Payment (lump sum, monthly payments)
Trust fund/inheritance
Parental/legal guardian support
Other (indicate source)
Other (indicate source)
Other sources of support for the previous 12 months/domicile year
Income/Assets
Cost/Expenses
Employment
Housing
Scholarship
Utilities
Other sources of support
Tuition & fees
Food
Transportation
Personal expenses
TOTAL
TOTAL
Please provide a summary of your income/assets and costs/expenses for the previous 12 months/domicile year
FINANCIAL INDEPENDENCE WORKSHEET
Only students under the age of 24 claiming independent status should complete this financial
statement to support their claim of independent status. Attach additional financial documentation as necessary.
Were you claimed as a dependent on your parent or legal guardian’s Federal and/or state (if applicable)
taxes for the preceding calendar year?
Yes No (Copies of your tax transcript and your parents’ tax transcript are required).
If you answered yes, you DO NOT qualify for independent status; file residency request form as a dependent.
Did you receive any type of financial aid (e.g. student loans, grants, scholarships, etc.) for the preceding domicile year?
Yes No (If yes, you must provide proof of your accepted financial aid. Print your award form from OASIS.)
Please complete the following section regarding your sources of support/income for the previous 12 months/domicile year:
Employment income: (Identify name of employer, dates of employment, rate of pay, and number of hours per week).
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
residency@usf.edu
Residency requirements are established by Florida Statutes and the Florida Department of Education administrative code, not
USF. There is a difference between being a “Florida resident” and a “Florida resident for tuition purposes” pursuant to Florida
Statutes. Residing in Florida for a year or longer or maintaining Florida documents for 12 months does not automatically qualify
a claimant as a Florida resident for tuition purposes. To be considered a “Florida Resident for Tuition Purposes,” the claimant has
the burden of proof, through the submission of official and/or legal documents, that there are sufficient permanent ties to Florida,
and when the student is the claimant that enrollment at USF is “incidental.” If the student is the claimant, he/she will not normally
meet this requirement once they are consecutively enrolled at USF. Students may not use relatives other than parents, legal
guardians or spouses to declare Florida residency, except under very specific circumstances.
Students may apply for residency for tuition purposes for any term; however, the documentation provided will determine when and
if the claimant is qualified. Florida residency for tuition purposes determinations are based on multiple criteria, including: arrival in
Florida; documentation with established permanent ties to Florida; identity of claimant; if the claimant is a student; domicile;
the status of the claimant (independent/dependent) during the qualifying period; and the duration the claimant can demonstrate
they have lived in Florida while not attending school unless they meet an exception. Eligible documentation must support 12 months
prior to the first day of classes for the term requested unless the claimant meets an exception.
All claimants must show proof of a bona fide domicile, rather than a mere temporary residence incidental to a student’s enrollment
in an institution of higher education, particularly during the requisite 12-month qualifying period. The claimant must support where
they reside full-time; USF affiliated housing and temporary housing will not qualify as a bona fide domicile. Owning a home in Florida
does not in itself establish residency for tuition purposes.
USF does not solicit any particular documentation to prove residency. However, all documents must support the claimant’s physical
presence in Florida and a bona fide domicile. There must be an absence of any documents representing legal ties to any other country
or state during the qualifying period. Official and or legal documents establishing Florida residency are listed in this residency request
form. No single document will qualify a claimant for residency for tuition purposes. Determinations are made based on multiple
variables stated in this residency request form.
A claimant under age 24 who claims to be “independent” and is not married must demonstrate that he/she is financially and legally
independent from any out-of-state residency through documents requested in this residency request form. Financial “independence”
is only one aspect of the residency request process – meeting the minimum income requirement and documentation does
not guarantee that a claimant will qualify for Florida residency.
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 all documents
and records, including those accessible electronically, which may assist in support of my status as a Florida resident for tuition purposes.
I understand that this residency request form will be reviewed and cross-checked with information in my student permanent record
for the term requested and that I will be informed of a decision once all documentation is received and reviewed. The process may
take up to four weeks for processing. If approved, my status will be updated; if denied, I have the option to appeal and have the
decision reviewed by the USF Residency Appeals Committee by submitting a written request or apply for residency for tuition
purposes for any subsequent term. I understand that the Committee’s decision is final. I understand that while this list addresses
significant and common criteria that relate to residency for tuition purposes, it is not exhaustive.
This residency request for tuition purposes form and all additional documentation must be submitted to the Office of the Registrar
no later than the fifth day of term for which the adjustment is sought. There are no exceptions to this mandated deadline. Requests
received after the published deadline are considered only for future terms. Tuition will be assessed at the non-resident rate for that
term. Until a decision has been made, the student should consider themselves a non-Florida resident. It is the student’s responsibility
to adhere to all fee payment deadlines for the term. If approved for in-state residency after payment is made, the student will be
refunded the out-of-state portion of fees.
______________________________________________________________________________________________________
Student signature Date
______________________________________________________________________________________________________
Claimant signature Date
Residency Declaration: The person claiming residency must read and initial that you acknowledge the following points:
Florida Residency for
Tuition Purposes Request
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
residency@usf.edu
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Florida Residency for Tuition Purposes Request (University of South Florida)

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Completed 11 February 2021

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