Fillable University of West Florida - Residency Reclassification Form

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University of West Florida - Residency Reclassification Form

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RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
1
02/20/2018
If you were initially classified as a non-Florida resident for tuition purposes at the University of West Florida, you may request
consideration for
reclassification to Florida resident status for tuition purposes. Reclassification requires you, or if you are a dependent, your
parent/guardian, to present clear and convincing documentation that supports permanent legal residency in Florida for the past 12
consecutive months rather than temporary
residency for the purpose of pursuing and education.
Fo
rms are due one week (7 calendar days) before the first day of classes for the semester in which you seek reclassification. Residency
reclassification requests and any supporting documentation should be submitted no earlier than two months before the start of the
semester in which you request reclassification. Because a person's situation may change at any time, this two month window is critical.
Any documents submitted too early will be returned, and re-submission at a later time will be required. The University of West Florida
uses email as the official method of communication during the review process.
Last Name
First Name
UWFID
Term/Year for which you wish to be reclassified
UWF email
An applicant may not be eligible for reclassification as a resident for tuition purposes, unless the applicant (or parent/legal guardian if
claiming dependent status; or spouse if claiming marital status) presents clear and convincing documentation that supports permanent
legal residency in this state for at least 12 consecutive months rather than temporary residency for the purpose of pursuing an education.
Other pe
rsons not meeting the 12-month legal residence requirement may be classified as Florida residents for tuition purposes only if
they fall within one of the limited exception categories listed below, as authorized by the Florida Legislature and Florida Board of
Governors.
FLORIDA
RESIDENCY FOR TUITION PURPOSES AFFIDAVIT
• DEPENDENT: Person, whether or not living with his/her parent, who has been claimed by his/her parent under the federal
income tax code (most recent return) OR a person who does meet one of the categories to automatically be considered
independent for whom 50% or more of his/her support has been provided by another.
• INDEPENDENT: Person who provides more than fifty percent (50%) his/her own support. For persons not meeting one of the
categories to automatically be considered independent, a copy of your and your parents’ most recent tax return will be required
as proof that have not been claimed as a dependent. A budget has been established and may be used during the review process.
I underst
and that evidence of my status will be requested by the University of West Florida. This documentation may include, but is
not limited to: marriage certificate; insurance information showing marital status; most recent tax return showing marital status; federal
tax returns; documentation showing that the student provides fifty (50) percent or more of the cost of attendance as defined by the Office
of Financial Aid and Scholarships at the University of West Florida (examples may include: tax return, W-2 form, pay stubs, employer
earnings verification); military discharge documents; legal documents showing student is a ward/dependent of the courts.
Student’s Signature
Date
RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
2
02/20/2018
THE FOLLOWING SECTIONS MUST BE COMPLETED IN FULL IF YOU ARE SEEKING A RESIDENCY
RECLASSIFICATION REVIEW
I CERTIFY THAT I AM:
QUA
LIFICATION BY EXCEPTION: (if applying for reclassification under an exception please check which one applies)
REQUIRED: Verification of FSU-PCB educational records, along with a copy of marriage certificate or
RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
3
02/20/2018
if such a military establishment is within a county contiguous to Florida.
university within fifty (50) miles of the military establishment where the active duty member is stationed.
teaching certificate.
fifty (50) miles of the military establishment where I am stationed.
Person claiming residency must complete all sections below in full
• IF YOU ARE A DEPENDENT STUDENT, YOUR PARENT/GUARDIAN IS THE CLAIMANT FOR RESIDENCY
• IF YOU ARE AN INDEPENDENT STUDENT, YOU ARE THE CLAIMANT FOR RESIDENCY
• IF YOU ARE MARRIED AND CLAIMING THROUGH A SPOUSE, YOU ARE CONSIDERED INDEPENDENT, BUT YOUR SPOUSE IS THE
CLAIMANT
Plea
se Print:
Date claimant began establishing legal Florida residence and domicile:
/
/
Mo
Day
Yr
Claimant’s relationship to student:
Claimant’s permanent legal address:
Street/P.O. Box Apt No. City State Zip Code
Claimant’s telephone number:
I do h
ereby swear or affirm that the above named student meets all requirements indicted 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 to the Board of Governors, 7.005
.
Signature of person claiming Florida residency
Date
RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
4
02/20/2018
PROOF OF FLORIDA RESIDENCY FOR TUITION PURPOSES
DIRECTIONS: Your reclassification determination will be based upon the completed Residency Reclassification Form and the
documentation you provide. Samples of appropriate documentation are listed below. It is very important for you to supply as much
documentation as possible in support of your reclassification request. The burden of proof is upon you. Assume there is no such
thing as too much documentation. Always err on the side of supplying too much.
REC
LASSIFICATION DOCUMENATION: Please check off all of the documentation you are submitting with your reclassification.
Do not submit original documents; copies are acceptable. Note: All documentation should be dated, issued, or filed 12 months prior
to the start of classes for the term you wish to be reclassified.
Claimant must submit 2 or more forms of documentation from Tier 1 or at least one document from Tier 1 and one or more from Tier
2 of the documents identified below. Additional documentation, other than what is prescribed, may be requested in some cases. All
documentation is subject to verification.
Tier 1 Documentation:
Florida driver’s license or State of Florida identification card
Florida voter's registration
Florida vehicle registration
Proof of permanent home in Florida occupied as primary residence for 12 consecutive month 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, 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.)
Proof of permanent full-time employment in Florida for at least 30 hours per week for the 12 consecutive months before
classes begin (e.g., letter on company letterhead from an employer verifying permanent employment)
Official Transcripts from a Florida high school for multiple years if the Florida high school diploma or GED was earned
within the last 12 months
Tier 2 Documentation:
Declaration of Domicile in Florida s.222.17 with a filing date 12 months prior to the start of classes for the term
Florida professional or occupational license
Florida incorporation
Documents evidencing family ties in Florida
Proof of membership in a Florida-based charitable or professional organization
Any other documentation not listed above that supports your request for resident status in the state
RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
5
02/20/2018
FINANCIAL INFORMATION:
Only students under the age of 24 claiming independent status are required to complete this financial statement to support their claim of
“independent” status. Attach additional financial documentation as necessary.
Were y
ou claimed as a dependent on your parent or legal guardian’s Federal and/or State (if applicable) Tax Returns for the preceding
calendar year?
Yes
No
Copies of your tax returns and your parents’ tax returns are required.
Did you receive any type of financial aid (e.g. student loans, grants, scholarships, etc.) for the preceding academic year?
Yes
No
If yes, you must provide proof of your accepted financial aid.
Please complete the following section regarding your sources of support/income:
Employment income: (Identify name of employer, dates of employment, rate of pay, and number of hours per week)
Name of Employer
Employment Dates
Rate of Pay
Hours per Week
Financial Aid: (Identify source of aid, academic year of award, and amount of award)
Source (loan, grant, scholarship, etc.)
Academic Year
Amount Awarded
Other Sources of Support:
Source
Amount
Method of Payment (Lump sum, mo. Payments, etc.)
Trust Fund/Inheritance
Other:
Other:
RESIDENCY RECLASSIFICATION FORM
Phone: 850-474-2244
residencyreclass@uwf.edu
6
02202018
Please provide a summary of your income/assets and costs/expenses for the last twelve months:
Income/Assets
Cost/Expenses
Employment
Rent/Mortgage
Private Financial Aid
Utilities
Other:
Tuition
Food
Medical
Other
TOTAL
TOTAL
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University of West Florida - Residency Reclassification Form

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Completed 23 April 2020

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