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Arizona Residency Documentation Form And Instructions - Arizona Department Of Education Page 3

Arizona Department of Education

Arizona Residency Documentation Form

Student

School

School District or Charter Holder _____________________________________________

Parent/Legal Guardian

As the Parent/Legal Guardian of the Student, I attest that I am a resident of the State of Arizona and

submit in support of this attestation a copy of the following document that displays my name and

residential address or physical description of the property where the student resides:

___

Valid Arizona driver’s license, Arizona identification card or motor vehicle registration

___

Valid U.S. passport

___

Real estate deed or mortgage documents

___

Property tax bill

___

Residential lease or rental agreement

___

Water, electric, gas, cable, or phone bill

___

Bank or credit card statement

___

W-2 wage statement

___

Payroll stub

___

Certificate of tribal enrollment or other identification issued by a recognized Indian tribe that

contains an Arizona address.

___

Documentation from a state, tribal or federal government agency (Social Security Administration,

Veteran’s Administration, Arizona Department of Economic Security)

___

I am currently unable to provide any of the foregoing documents. Therefore, I have provided an

original affidavit signed and notarized by an Arizona resident who attests that I have established

residence in Arizona with the person signing the affidavit.

__________________________________

________________

Signature of Parent/Legal Guardian

Date

#2306606

Arizona Residency Documentation Form And Instructions - Arizona Department Of Education Page 3