Fillable Florida-residency-declaration-for-tuition-purposes-v2 Florida Residency Declaration for Tuition Purposes

Fill Online, Printable, Fillable, Blank Florida-residency-declaration-for-tuition-purposes-v2 Florida Residency Declaration for Tuition Purposes Form

Use Fill to complete blank online MIAMI DADE COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Florida-residency-declaration-for-tuition-purposes-v2 Florida Residency Declaration for Tuition Purposes

On average this form takes 14 minutes to complete

The Florida-residency-declaration-for-tuition-purposes-v2 Florida Residency Declaration for Tuition Purposes form is 4 pages long and contains:

  • 2 signatures
  • 39 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Miami Dade College forms online.

BROWSE MIAMI DADE COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
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.
D 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.
D 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, 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."
D 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.
D 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 if submitting hard copy.
Date of Birth: Name of Student:
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.
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:
Rule 6A-10.044, F.A.C., For
m
FRD-1
Effective December, 2015
Page 1
Signature of Student: (Electronic or ink): Date:
TO BE COMPLETED BY THE STUDENT SEEKING FLORIDA RESIDENCY FOR TUITION
PURPOSES:
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.
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.
I meet residency requirements through one of the Qualifications by Exception below (check appropriate
exception):
TERM OF APPLICATION: (check one): FALL SPRING
SUMMER YEAR: 20
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
(documentation required):
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.)
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.)
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 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.
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.)
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.)
Rule 6A-10.044, F.A.C., For
m
FRD-1
Effective December, 2015
Page 2
click to sign
signature
click to edit
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.)
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)
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.)
Southern Regional Education Board's Academic Common Market graduate students attending
Florida's state universities. (Required: Certification letter from State Academic Common Market
Coordinator.)
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).
McKnight Doctoral Fellows and Finalists who are United States citizens. (Required: Verification from
graduate studies.)
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.)
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.)
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.)
TO BE COMPLETED BY THE CLAIMANT/PERSON CLAIMING FL 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.
Claimant/Name of Person Claiming FL Residency:
Claimant’s Relationship to Student
Claimant’s Address:
Telephone Number:
Date Claimant began establishing legal FL 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 of the following of his/her personal documentations:
Florida Voter's registration card Number: Issu: e Date ___
Florida Driver's license. Number: Original Issue Date:
Current Issue Date:
Rule 6A-10.044, F.A.C., For
m
FRD-1
Effective December, 2015
Page3
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 or other evidence of title to property used as primary
residence, a homeowner’s policy, and 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: 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 verification from employers, and/or an IRS
1099 with verification of employment for the past 12 consecutive months from an employer.)
B.
Claimant may provide 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.
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):
Claimant Name (if not the Student):
Signature of Claimant (Electronic or ink): Date:
Rule 6A-10.044, F.A.C., For
m
FRD-1
Effective December, 2015
Page4
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Florida-residency-declaration-for-tuition-purposes-v2 Florida Residency Declaration for Tuition Purposes

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document