Homepage Blank Ccsd Residential Affidavit PDF Template
Outline

In today's educational landscape, ensuring students attend the right school within their district is paramount, an endeavor where the Clark County School District (CCSD) Residential Affidavit plays a crucial role. Mandated by CCSD Regulation 5111, this form demands a series of steps and documents to legitimize a student's residency within the desired school's catchment area. Initially, it requires the submission of government-issued photo identification and proof of residence—this could be a current mortgage statement, rental lease agreement, or a utility bill, explicitly excluding cable or telephone bills. Beyond mere paperwork, the affidavit involves a solemn declaration from the property owner or renter that the child, or children, listed, along with their guardian(s), genuinely reside at the address provided and are not simply using it for school enrollment purposes. This declaration is fortified with the signatures of both the property owner/renter and the parent/guardian, which must be notarized to affirm its authenticity. Furthermore, the document outlines a clause related to the Nevada Interscholastic Activities Association (NIAAA) regulations, stating that students enrolled via this affidavit are ineligible for athletic participation, though they may appeal. The stipulation for the affidavit to be notarized and renewed yearly adds another layer of verification to this essential process, emphasizing the dynamic and ongoing commitment of families, schools, and the community towards maintaining integrity in student enrollment.

Form Example

9998-500792Clark County School District

RESIDENTIAL AFFIDAVIT

CCF-792 06/11

School: __________________________________________________ School Year: _______________________________

(Print school name)

(Print school year)

As required by CCSD Regulation 5111, the following documents, provided by the owner/renter of property, must be submitted to the school by the parent or guardian along with the residential affidavit:

Government-issued photo identification (e.g. driver’s license, state issued identification card, passport) AND

Current mortgage statement/rental lease agreement/rent receipt (apartment complex name must appear on receipt) OR

Current utility bill such as: gas, water, or electric (cable and/or telephone bills are not acceptable)

The following statement/agreement is to be completed by the owner/renter of property. Owner/renter of property and parent/guardian must sign form before a Notary:

Printed Name of Owner/Renter of PropertyPhone Number

 

 

Nevada

 

Address

City

State

Zip Code

I hereby state that currently the following school age child(ren) (print name(s) and grade level[s]):

____________________________________________________________________________________________________

and the parent/legal guardian(s) of said child(ren): ________________________________________________________

Print Name(s)

are residing with me, ________________________________________, at my place of residence.

Print Name

I further state that this family is NOT just using my address for the specific purpose of enrolling their child(ren)

at the above-mentioned school. I understand that if this statement is untrue, or if the living arrangements should change, the current school of enrollment will immediately withdraw this family’s child(ren) from the school. I further agree to notify the school upon termination of this residential agreement.

Signature of Owner/Renter of Property

Signature of Parent/Guardian

SUBSCRIBED and SWORN to before me this_________ day of _______________ , 20____, by

___________________________________AND ___________________________________

Owner/Renter of Property

Parent/Legal Guardian

NOTARY PUBLIC in and for the County of Clark, State of Nevada

Per Nevada Interscholastic Activities Association (NIAA) regulation NAC 386.782, students attending a school on

a Residential Affidavit are ineligible for athletic participation. Students may appeal this provision.

However, an appeal is not a guarantee of athletic eligibility.

THIS AGREEMENT MUST BE NOTARIZED AND RENEWED YEARLY

9998-500792Distrito Escolar Del Condado De Clark

DECLARACIÓN JURADA DE DOMICILIO

CCF-792 06/11

Escuela: _________________________________________________ Año Escolar: _______________________________

(Escribir en letra de molde el nombre de la escuela)

(Escriba en letra de molde el año escolar)

Como se exige en el Reglamento 5111 de CCSD, los siguientes documentos, proporcionados por el dueño/arrendatario de una propiedad, deben ser presentados en la escuela por el padre o tutor junto con la declaración jurada de residencia:

Identificación con foto emitida por el gobierno (por ejemplo, licencia de conducir, tarjeta de identificación del estado emitida por el gobierno, pasaporte) Y

Declaración actual de la hipoteca/Contrato de arrendamiento del alquiler/recibo del alquiler (el nombre del complejo de apartamentos debe aparecer en el recibo) O

Recibo de un servicio actual como: gas, agua o electricidad (no se aceptan recibos del cable y/o teléfono)

La siguiente declaración/acuerdo debe ser completada por el dueño/arrendatario de una propiedad. El dueño/ arrendatario de una propiedad y el padre/tutor deben firmar el formulario ante la presencia de un notario:

Escribir el Nombre del Dueño/Arrendatario de la Propiedad en Letra de Molde Número de Teléfono

 

 

Nevada

 

Domicilio

Ciudad

Estado

Código Postal

Por la presente afirmo que el siguiente niño(s) en edad escolar (escriba su nombre(s) y su nivel de grado(s) en Letra de Molde):

____________________________________________________________________________________________________

Y el padre/tutor(s) legal(es) del niño(s) mencionado: ______________________________________________________

Escriba su Nombre(s) en Letra de Molde

residen conmigo,___________________________________________ , en mi lugar de residencia.

Escriba el Nombre en Letra de Molde

Yo a continuación informo que esta familia NO está utilizando mi dirección con el propósito específico de inscribir a su hijo(s) en la escuela mencionada anteriormente. Entiendo que si esta declaración no es verdadera, o si la situación de la vivienda cambia, la escuela de inscripción actual inmediatamente dará de baja de la escuela al niño(s) de esta familia. A continuación estoy de acuerdo con notificar a la escuela al terminar este acuerdo de residencia.

Firma del Dueño/Arrendatario de la Propiedad

Firma del Padre/Tutor

FIRMADO Y JURADO ante mi este _________ día de ________________ , 20____, por

_____________________________________ Y ___________________________________

Dueño/Arrendatario de la Propiedad

Padre/Tutor Legal

NOTARIO PÚBLICO en y para el Condado de Clark, Estado de Nevada

Por la Asociación de Actividades Interescolares de Nevada (NIAA) reglamento NAC 386.782, los estudiantes asistiendo a la escuela bajo una Declaración Jurada de Residencia no cumplen con los requisitos para la participación atlética. Los estudiantes pueden apelar para esta disposición. Sin embargo, apelar no garantiza la elegibilidad atlética.

ESTE ACUERDO DEBE ESTAR NOTARIZADO Y SE DEBE RENOVAR ANUALMENTE

Document Features

Fact Detail
Document Title Clark County School District Residential Affidavit
Form Number CCF-792
Issue Date June 2011
Regulation CCSD Regulation 5111
Requirements for Proof of Residency Government-issued photo ID and either a current mortgage statement/rental agreement/rent receipt or a current utility bill (excluding cable/telephone bills).
Athletic Participation Ineligibility Under NIAA regulation NAC 386.782, students living under a residential affidavit are ineligible for athletic participation, subject to appeal.

How to Use Ccsd Residential Affidavit

Filling out the Clark County School District Residential Affidavit form is a straightforward process essential for registering a student with the school district under certain living arrangements. This document ensures that the student's residency aligns with the school's requirements. To complete this task effectively, follow these steps carefully and ensure that all the provided information is accurate and clearly written to avoid any delays in the registration process.

  1. Start by entering the name of the school your child will be attending in the space provided.
  2. Next, insert the school year for which the registration applies.
  3. Under the requirement section, acknowledge that you need to submit government-issued photo identification (like a driver's license or passport) and either a current mortgage statement, rental lease agreement, rent receipt (with the apartment complex name visible), or a current utility bill for gas, water, or electric. Note that cable and telephone bills are not acceptable.
  4. In the statement/agreement section, print the name of the owner/renter of the property where the student and parent/guardians will be residing.
  5. Include the phone number, Nevada address, city, state, and zip code of the residence.
  6. Print the name(s) and grade level(s) of the school-age child(ren) residing at the address.
  7. Also, print the name(s) of the parent or legal guardian(s) of the child(ren).
  8. In the space provided, print the name of the owner/renter certifying the affidavit, indicating that the address is not being used merely for school enrollment purposes.
  9. The owner/renter of the property and the parent or guardian must both sign the form.
  10. This form requires notarization. Therefore, the last step involves having the form subscribed and sworn before a Notary Public. Make sure the date filled in reflects the day you are signing in front of the Notary.
  11. Remember, this affidavit must be notarized and renewed yearly, so keep a copy for your records and note when you'll need to submit a new affidavit.

After completing and submitting the affidavit with the required documents, the school will review the information to ensure it meets the regulatory requirements. This process is crucial for the district to maintain accurate records of their students' residency status and ensure that each child receives the best possible education in their designated school. Pay attention to any feedback from the school regarding your affidavit, as you may need to provide additional information or clarification to complete your child's registration.

Listed Questions and Answers

What is the purpose of the CCSD Residential Affidavit form?

The CCSD Residential Affidavit form is required for parents or guardians who need to enroll their children in a school within the Clark County School District (CCSD) but cannot provide traditional proofs of residency. This form acts as a declaration from the homeowner or renter that the student and parent or guardian live at their residence. It's utilized to confirm the residence for school enrollment purposes.

What documentation is required along with the Residential Affidavit?

To submit the Residential Affidavit correctly, the parent or guardian must provide the following documents:

  • Government-issued photo identification (e.g., driver’s license, state-issued identification card, passport).
  • Either a current mortgage statement/rental lease agreement/rent receipt showing the apartment complex name or a current utility bill (gas, water, or electric). Cable and telephone bills are not accepted.

Who needs to sign the CCSD Residential Affidavit form?

The form must be signed by both the homeowner or renter of the property and the parent or guardian of the student. Both signatures must be completed in the presence of a Notary.

Is there a requirement for the form to be notarized?

Yes, after the owner/renter of the property and the parent/guardian have signed the form, it must be notarized. This step is crucial to verify the authenticity of the affidavit.

How often does the CCSD Residential Affidavit need to be renewed?

The affidavit must be renewed yearly. This ensures that the school district has the most up-to-date information regarding the student's residency.

Can students living at a residence under a Residential Affidavit participate in athletic activities?

No, according to the Nevada Interscholastic Activities Association (NIAA) regulation NAC 386.782, students attending a school based on a Residential Affidavit are ineligible for athletic participation. However, students have the option to appeal this provision, but an appeal does not guarantee eligibility.

What happens if the living arrangements change after submitting the Residential Affidavit?

If the living arrangements change, the owner/renter of the property and the parent/guardian are obligated to notify the school immediately. Failure to do so could result in the student being withdrawn from the school.

What are the consequences of providing false information on the Residential Affidavit?

Submitting false information on the Residential Affidavit is a serious violation. It can lead to the immediate withdrawal of the student from the school. The CCSD takes the accuracy of this document very seriously to ensure fairness and accuracy in school enrollment.

Common mistakes

When filling out the CCSD Residential Affidavit form, several common mistakes can lead to delays or issues in the enrollment process. To ensure smooth and accurate completion, here are six mistakes to watch out for:

  1. Not providing a government-issued photo identification along with the affidavit. It's imperative to include a valid form of identification, such as a driver's license, state-issued identification card, or passport, to verify the identity of the parent or guardian submitting the form.

  2. Submitting outdated or irrelevant utility bills. The affidavit requires a current utility bill (gas, water, or electric) as proof of residence. Cable and telephone bills are not accepted. Ensuring the utility bill is recent and lists the correct address is crucial for verifying residency.

  3. Failing to have the affidavit notarized. Before submission, the document must be signed by both the owner/renter of the property and the parent/guardian in the presence of a Notary Public. This step legitimizes the affidavit, making it a legally binding document.

  4. Overlooking the need to renew the affidavit yearly. As per the instructions on the form, this affidavit is not a one-time document but needs to be annually renewed and re-notarized for continued enrollment based on residency.

  5. Incorrectly listing the names or grades of the children. Accuracy is key when filling out any form, especially regarding the names and grade levels of the children for whom the affidavit applies. This information must match school records and other legal documents.

  6. Neglecting to notify the school of changes in living arrangements. If at any point the living situation changes from what is declared in the affidavit, the school requires immediate notification to adjust records or reassess eligibility for enrollment based on residency.

By avoiding these common mistakes, the process of submitting a CCSD Residential Affidavit can be smooth and free from unnecessary delays, ensuring that students' enrollment processes based on residency are handled efficiently and accurately.

Documents used along the form

When enrolling a child in the Clark County School District (CCSD) using a Residential Affidavit, certain documentation is needed to comply with regulations and ensure the process is smooth and above board. The Residential Affidavit is crucial for declaring living situations that may not be straightforward but still legitimate for school enrollment purposes. Along with this affidavit, there are other forms and documents that often accompany the application to provide a full picture of the child's eligibility for attending a particular school. Understanding each of these documents can help parents or guardians navigate the enrollment process more effectively. Here's a rundown of some of the other forms and documents that are typically used along with the CCSD Residential Affidavit.

  • Government-issued photo identification: This includes any official document that has a photo of the parent or guardian, such as a driver’s license, state-issued identification card, or passport. It’s used to verify the identity of the person making the affidavit.
  • Current mortgage statement: For homeowners, a recent mortgage statement is required to prove residence at the address listed on the affidavit. This document should be official and include the name of the parent or guardian.
  • Rental lease agreement:: If renting, the current lease agreement showing the parent or guardian's name, rental period, and the address of the property can serve as evidence of residence.
  • Rent receipt: For those who do not have a lease agreement readily available, a current rent receipt that includes the apartment complex name and address can also suffice.
  • Current utility bill: Utility bills for services like gas, water, or electric, which include the residing address and the name of the parent or guardian, are required. Cable and telephone bills are not accepted.
  • Birth certificate of child: Often requested to verify the child's age, identity, and the parentage or guardianship of the enrolling party.
  • Immunization records: Schools require up-to-date vaccination records to comply with state health regulations and ensure the safety of all students.
  • Previous school records: If the child was previously enrolled in another school, their records could be required to ensure they are placed in the correct grade and receive any necessary support.
  • Proof of guardianship: If the person enrolling the child is not the biological parent, legal documents proving guardianship might be required to establish the right to make educational decisions for the child.

Together, these documents supplement the Residential Affidavit, making a comprehensive case for the child's eligibility to enroll in a particular school based on residence and other regulatory requirements. Always check with the specific school or district office for the most current information and any additional requirements. Navigating the enrollment process can be complex, but understanding these key documents will make it easier to advocate for your child's educational journey.

Similar forms

The CCSD Residential Affidavit form is similar to utility verification forms which are used to establish proof of residence through means such as utility bills. Much like the affidavit, these forms require the resident to provide documentation that demonstrates their use of services at a specific address. This could include bills for gas, water, or electricity, which must be current and include the address of the residence. Both types of documents play a crucial role in verifying an individual's residency for various purposes, including school enrollment and access to government programs.

Another document the CCSD Residential Affidavit form resembles is the notarized letter of residence. Such letters also serve as proof of residency, requiring a written statement from a property owner or renter affirming that the individual or family resides with them. The letter, similar to the affidavit, often must be signed in the presence of a notary public to ensure its authenticity. This process adds a layer of formal verification, acknowledging the living situation stated is accurate and binding, especially in legal matters such as school registration or when updating personal records.

Dos and Don'ts

When completing the Clark County School District (CCSD) Residential Affidavit, it is important to carefully follow guidelines to ensure the process is done correctly. Below is a list of dos and don'ts to assist in this process:

  • Do ensure you have all the required documents ready before filling out the affidavit, including a government-issued photo identification and a current mortgage statement, rental lease agreement, rent receipt, or a current utility bill for gas, water, or electric.
  • Do print all names clearly and legibly to avoid delays or issues with the affidavit due to illegible handwriting.
  • Do make sure that the owner/renter of the property and the parent/guardian both sign the form in front of a Notary Public to fulfill the legal requirements.
  • Don't use the address for the purpose of school enrollment if the child(ren) and their parent/legal guardian(s) do not actually reside there; this is against the regulation and could result in withdrawal from the school.
  • Don't forget to renew the affidavit yearly, as it's a requirement to maintain the student's enrollment under these circumstances.
  • Don't attempt to use cable and/or telephone bills as proof of residence, as these are not accepted forms of verification for the CCSD Residential Affidavit.

By following these guidelines, parents and guardians can ensure a smoother process for completing the CCSD Residential Affidavit, helping to avoid any potential issues that could affect their child's school enrollment and education journey.

Misconceptions

There are several common misconceptions about the Clark County School District (CCSD) Residential Affidavit form that need clarification to ensure parents and guardians can accurately complete the process for their children's school enrollment. Understanding these misconceptions can simplify the enrollment process and ensure compliance with CCSD regulations.

  • Misconception 1: Cable and Telephone Bills are Acceptable as Proof of Residence

    One of the most common misunderstandings is that cable and telephone bills can be used as proof of residence. The form clearly states that acceptable documents include a current mortgage statement, rental lease agreement, rent receipt where the apartment complex name is visible, or utility bills for services like gas, water, or electric only. Cable and telephone bills are not permitted for verifying residency.

  • Misconception 2: The Residential Affidavit Does Not Need to Be Notarized

    Another misconception is that the residential affidavit does not require notarization. The form instructions explicitly state that the owner/renter of the property and the parent/legal guardian must sign the form before a notary. This step is crucial; the form is not valid without notarization, and the school will not accept it for enrollment purposes.

  • Misconception 3: The Affidavit is a One-Time Requirement

    Some believe once they submit the residential affidavit, they do not need to renew it. However, the form must be notarized and renewed yearly to confirm the student’s current residency. Changes in residence must be reported to maintain accurate records and ensure the student is attending the correct school based on their address.

  • Misconception 4: The Affidavit Grants Immediate School Enrollment

    Submitting the residential affidavit does not guarantee immediate school enrollment. The affidavit, along with the required documents, begins the enrollment process, but the school may require additional information or documents before finalizing enrollment. This process ensures all students meet the residency requirements set forth by the CCSD.

  • Misconception 5: Students on a Residential Affidavit Are Eligible for Athletic Participation

    Many are unaware that students attending a school on a residential affidavit are ineligible for athletic participation, as per Nevada Interscholastic Activities Association (NIAA) regulation. Though students may appeal this provision, an appeal does not guarantee athletic eligibility. This regulation aims to ensure fair participation in school athletics.

Key takeaways

When filling out the Clark County School District Residential Affidavit form, it's important to understand its purpose and requirements. This document is essential for confirming a student's residency when traditional documents are not available. Here are seven key takeaways for completing and utilizing this form effectively:

  • Required Documentation: A government-issued photo identification and a current mortgage statement, rental lease agreement, or rent receipt must accompany the Residential Affidavit. Alternatively, a current utility bill for gas, water, or electric can be used, excluding cable and telephone bills.
  • Complete the Statement/Agreement: The owner or renter of the property, along with the parent or guardian of the student, must complete the statement/agreement section of the form to confirm the living arrangement.
  • Authentication: The signatures of both the property owner/renter and the parent/guardian must be notarized. This formal step is crucial for the affidavit's validity.
  • Annual Renewal: It's important to note that the affidavit and accompanying documentation need to be renewed and submitted each school year to continue validating the student's residency.
  • Athletic Participation: Under NIAA regulation, students attending a school based on a Residential Affidavit are ineligible for athletic participation. However, an appeal process is available, though not guaranteed to change eligibility status.
  • Address Verification: The form serves as a tool for verifying that a family is not using an address solely for the purpose of enrolling a child in a particular school. If it's discovered that the living situation has changed or was misrepresented, the child may be withdrawn from the school.
  • Notification of Change: The property owner/renter agrees to notify the school if the residential agreement is terminated or if any change in living arrangements occurs. This ensures that the school's records are up-to-date and accurate.

Properly completing and understanding the implications of the CCSD Residential Affidavit form is essential for ensuring a student's eligibility to attend a particular school within the Clark County School District. Careful attention to the form's requirements and honesty in representing the living situation are crucial for a successful submission.

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