Proof of Residency Form
This form is to be completed when a family has a physical address change.* This multipurpose form can be used to submit a proof of residency document or complete an affidavit of residence.
Only one form is required for each household as you can enter all enrolled students on this document. You do not need to complete this form for each student. If you have questions regarding this form, please reach out to your Teacher or the Proof of Residency team at por@thinksuite.org.
*Mailing address changes can be emailed directly to your Teacher, completion of this form is not necessary for that purpose.
Which of the following best describes the student's current residency situation?*
Student(s) and Parent/Legal Guardian(s) live in a fixed, regular, adequate nighttime residence and can supply a proof of residence document (utility bill, lease/rental agreement, etc.) in the Parent/Legal Guardian(s) name. Student(s) and Parent/Legal Guardian(s) cannot provide a proof of residency document in their name, or need assistance in determining if the student meets the definition of a child in transition.
Form Type
Proof of Residence Form
1. Name of Person Submitting this Request*
First Name Last Name
2. Your Email*
example@example.com
3. Your relationship to Student:*
Student's teacher Parent/Guardian
Student Information
4. Student Name*
First Name Last Name
5. District ID
5. Physical Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
6. Please list first and last names of all siblings who also attend our school
7. Please indicate what kind of proof-of-residence document is you are providing (you must select one.) Document must be dated 7/1/2020 or later.*
Utility service contract, statement, or payment receipts - e.g. Gas, Water, Electric, Home Phone or Cable (Disconnection utility notices are NOT accepted) Property tax payment receipt Rental property contract, lease, or payment receipt (Agreements must have the signature page with signatures dated 7/1/2020 or later) Pay stub Voter registration Correspondence from a government agency - e.g. CalWORKS, Social Security, Medi-Cal
8. Proof of Residence Document Upload*
Browse Files
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Affidavit to Verify Residence Form
This form is to be used either when the parent/legal guardian is currently residing with someone and cannot provide legal proof of residency for themselves or to assist in determining if the student meets the definition of a child in transition (No permanent nighttime residence). This affidavit is intended to address requirements of the McKinney-Vento, Title X, Part C of the Elementary and Secondary Education Act.

Parent(s) or guardian(s) will need to complete a “Caregiver’s Authorization Affidavit” in the event the child is not staying with his/her parent(s) or guardian(s). If you are a parent or guardian and require that form, please reach out to your Homeschool Teacher for the document.
To be completed by Parent/Guardian:
Number of Students*
Student 1: Name*
First Name Middle Name Last Name
Student 1: Date of Birth*
Month Day Year
Date
Student 2: Name*
First Name Middle Name Last Name
Student 2: Date of Birth*
Month Day Year
Date
Student 3: Name*
First Name Middle Name Last Name
Student 3: Date of Birth*
Month Day Year
Date
Student 4: Name*
First Name Middle Name Last Name
Student 4: Date of Birth*
Month Day Year
Date
Student 5: Name*
First Name Middle Name Last Name
Student 5: Date of Birth*
Month Day Year
Date
Student 6: Name*
First Name Middle Name Last Name
Student 6: Date of Birth*
Month Day Year
Date
Student 7: Name*
First Name Middle Name Last Name
Student 7: Date of Birth*
Month Day Year
Date
Student 8: Name*
First Name Middle Name Last Name
Student 8: Date of Birth*
Month Day Year
Date
Student(s) receive services in (check all that apply):
ELD (English Language Development) Special Ed Migrant Ed
Family information (check all that apply):
Children Ages 0-2 Children Ages 3-5
Student(s) live with:*
Parent Relative, Guardian, or Caretaker Foster Parent Unaccompanied Youth (alone with no adults)
Contact Information
This information will be used for contact regarding emergencies and to send school reports
Parent/Guardian Name*
First Name Last Name
Day Phone Number*
Area Code Phone Number
Evening Phone Number
Area Code Phone Number
Parent/Guardian Email Address*
example@example.com
Please mark the student's nighttime residence as of today’s date:*
Doubled-up (permanently sharing residence with friends and/or relatives) Doubled-up (temporarily sharing residence with friends and/or relatives) Hotel/Motel Emergency or transitional shelter or in temporary foster care Unsheltered (e.g. cars, parks, campgrounds) Caregiver’s residence (living with relative & experiencing hardship) Student lives alone with no adults
Property Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
I am submitting this verification because I reside with someone due to hardship resulting in a lack of permanent nighttime residence.*
Yes, I lack a permanent nighttime residence No, I do not lack a permanent nighttime residence
Date since family has not had permanent residence*
Month Day Year
Date
By signing below, I declare that I am the parent/legal guardian of my student. We are currently residing at the address listed above. I declare under penalty of perjury under the laws of California that the above statements are, to the best of my knowledge, true and correct.
Parent/Guardian Signature*
To be completed by Property Owner or Renter:
Name of Property Owner or Renter*
First Name Last Name
By signing below, I, the Property Owner or Renter, declare under penalty of perjury under the laws of California that the above statements are, to the best of my knowledge, true and correct.
Property Owner or Renter Signature*
Date*
Month Day Year
Date
Teacher Name*
Click the "Confirm Teacher" button. This box must contain your teacher's name as it is listed in the previous question*
Teacher Email Address*
example@example.com
Form created by Drew Kimzey, SIS Coordinator
Should be Empty:

Proof of Residency Form

Proof of Residence Form

Student Information

Affidavit to Verify Residence Form

To be completed by Parent/Guardian:

To be completed by Property Owner or Renter: