OFFICE OF ADMISSIONS AND REGISTRATION
FLORIDA RESIDENCY CORRECTION FORM
Date:
Empl ID#:
Student Name:
Last First Middle
Term: Fall Spring Summer
Florida Residency Declaration and supporting documentation are available on Image Now
Reason for Correction/ Addition:
FOR OFFICE USE ONLY
Received by:
Date:
Processed by:
Date:
A&R Form Rev 6/18
Gov/state picture ID will be required
A&R Form Revised 3/2020
click to sign
signature
click to edit
click to sign
signature
click to edit