Request For Residency Points - City Of Bridgeport, Ct
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1
2CITY OF BRIDGEPORT, CONNECTICUT
(FORM RP-1)
CIVIL SERVICE COMMISSION
CITY HALL - 45 LYON TERRACE, BRIDGEPORT, CT 06604-4023
REQUEST FOR RESIDENCY POINTS
In order to qualify for residency points in accordance with Civil Service Rules and Regulations, the
Civil Service Office requires that you provide irrefutable evidence to substantiate that at the date of
the announcement of the exam through the date of certification for hire you are domiciled in the
City of Bridgeport.
As the intention of the Civil Service Rule and City Ordinance is to give those domiciled in the City
of Bridgeport preference points on open competitive examinations, the Personnel Director is
directed to notify all applicants that the application of the credits is a privilege subject to being
withdrawn if the applicant loses domiciliary status at any time from date of the announcement of
the examination, through date of certification for hire.
For the purposes of this Request, “DOMICILED” is defined to be “that place where an individual
has his true, fixed, and permanent home and to which whenever he is absent he has the intention of
returning.”
You are required to complete and submit this form at the time of application. You must also be
prepared to submit any additional documentation, as the Director of Personnel may require. This
information will be subject to verification by the Civil Service Office and the Bridgeport Police
Department.
NOTICE: ANY INDIVIDUAL WHO FALSELY REPORTS THEIR DOMICILE AS
THE CITY OF BRIDGEPORT, CONNECTICUT, WHO IS DOMICILED OUTSIDE THE CITY
OF BRIDGEPORT CONNECTICUT, WILL NOT RECEIVE THE PREFERENCE POINTS,
WILL BE PROHIBITED FROM COMPETING IN ANY FUTURE CIVIL SERVICE
EXAMINATIONS AND WILL BE SUBJECT TO THE PENALTIES SET FORTH IN SECTION
221 OF THE CITY CHARTER.
Examination Number: ____________________
Position Applied for: _____________________________________________________
Name of Applicant: _____________________________________________________
PLEASE PRINT
I, _____________________________, hereby attest that I am a bona fide resident of the
NAME OF APPLICANT
City of Bridgeport, who, as of the date of the examination for the above position was announced, is
domiciled within the City. Evidence to substantiate my claim for residency points is provided as
follows:
Check all appropriate statements:
1.
___
I OWN/RENT property in the City of Bridgeport at:
(please circle)
Address: ________________________________________________________________
I have been domiciled in the City since _________\__________\__________
Mo.
Day
Year
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