TemplatesOwl
Homepage ↦ Fill Out Your Ccsd Residential Affidavit Form
Article Structure

The Clark County School District (CCSD) Residential Affidavit form plays a crucial role in ensuring accurate enrollment for students living in shared housing situations. This form is required by CCSD Regulation 5111 and demands specific documentation to verify residency. Parents or guardians must submit a government-issued photo ID, as well as either a mortgage statement, rental agreement, or utility bill demonstrating the current address. Importantly, the form must be completed and signed by both the property owner or renter and the child's parent or guardian, all in the presence of a notary. This process not only affirms the legitimate living arrangements but also protects the integrity of the educational system. If circumstances change or the information provided is found to be false, the involved child(ren) may be withdrawn from the school. Additionally, it’s essential to note that students enrolled using this affidavit are ineligible for athletic participation unless a successful appeal is filed. The needs for renewal each year and notarization highlight the importance of ongoing compliance with CCSD regulations.

Ccsd Residential Affidavit 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

Get Ccsd Residential Affidavit PDF Form

Form Characteristics

Fact Name Details
Governing Regulation The CCSD Residential Affidavit is governed by CCSD Regulation 5111.
Eligibility for Athletes Students using the affidavit for enrollment are ineligible for athletic participation as per Nevada NIAA regulation NAC 386.782.
Required Identification A government-issued photo ID, such as a driver’s license, must be submitted.
Proof of Residency Documentation must include either a current mortgage statement, rental lease, or utility bill.
Notarization Requirement The form must be notarized, and both the owner/renter and parent/guardian must sign it.
Annual Renewal This agreement must be renewed yearly to remain valid.
False Statements Providing false information may result in immediate withdrawal from the school.
Submission Responsibility It is the parent's or guardian's responsibility to submit the affidavit along with required documents.

Guidelines on Utilizing Ccsd Residential Affidavit

Filling out the Clark County School District (CCSD) Residential Affidavit form is an essential step for families who need to establish residency for school enrollment. Once you complete this form, it must be submitted along with the required documents to the school. Make sure that all information is accurate and all signatures are collected as needed before heading to a notary.

  1. Print the name of the school in the designated space on the form.
  2. Enter the current school year next to the school name.
  3. Gather the necessary documents:
    • A government-issued photo identification (such as a driver’s license, state identification card, or passport).
    • A current mortgage statement, rental lease agreement, or rent receipt. Ensure that the receipt includes the name of the apartment complex.
    • A current utility bill, like gas, water, or electric. Note that cable and telephone bills are not acceptable.
  4. Have the owner or renter of the property fill out their printed name and phone number in the appropriate sections.
  5. Provide the Nevada address where the family resides and fill in the city, state, and ZIP code.
  6. List the names and grade levels of the school-age children on the form.
  7. Record the names of the parent or legal guardians of these children in the specified area.
  8. Have the owner/renter of the property confirm that the family does not use their address solely for enrollment purposes. This section requires a signature from the owner/renter and the parent or guardian.
  9. Take the completed form to a notary public. Both the owner/renter and the parent/guardian must sign in the presence of the notary.
  10. Ensure that the entire affidavit is notarized and remember to renew it yearly.

What You Should Know About This Form

What is the Ccsd Residential Affidavit form?

The Ccsd Residential Affidavit form is a document required by the Clark County School District (CCSD) to verify the residential status of students enrolling in schools. This form must be completed by a parent or guardian, and it requires the signatures of both the property owner or renter and the guardian. The intent of the form is to ensure that students attend schools in accordance with CCSD regulations and that their living arrangements comply with the school district's enrollment policies.

What documents need to be submitted along with the Residential Affidavit form?

When submitting the Residential Affidavit form, the parent or guardian must also provide specific documentation. This includes a government-issued photo identification, such as a driver's license or passport, and one of the following: a current mortgage statement, rental lease agreement, rent receipt (with the apartment complex name), or a current utility bill like gas, water, or electric. It's important to note that cable and phone bills are not acceptable as proof of residency.

Who must sign the Residential Affidavit form?

Both the property owner or renter and the parent or legal guardian must sign the Ccsd Residential Affidavit form. This signature signifies that the information provided is accurate and that the living arrangement is genuine. The signatures must be completed in the presence of a Notary Public, further confirming the authenticity of the agreement.

What happens if the information on the Residential Affidavit form is found to be untrue?

Transparency is essential. If it is discovered that the information provided on the Residential Affidavit form is untrue or if the living arrangements change, the school will withdraw the child or children from enrollment immediately. Such actions are taken to maintain the integrity of the enrollment process and to ensure compliance with district regulations.

Are students enrolled under a Residential Affidavit form eligible for athletics?

No, students attending a school based on a Residential Affidavit are generally ineligible for athletic participation according to the Nevada Interscholastic Activities Association (NIAA) regulations. Although students may appeal this requirement, there is no guarantee that an appeal will be successful in restoring athletic eligibility. It is crucial for families to be aware of this rule when considering enrollment options.

Common mistakes

Filling out the CCSD Residential Affidavit form can be a straightforward process, but many people make mistakes that could lead to unnecessary complications. One common error is failing to provide the correct documentation. The form requires specific documents such as government-issued photo identification, a current mortgage statement or rental lease, and a utility bill. Omitting any of these documents can delay the processing of your affidavit. Make sure every required item is included before submission.

Another frequent mistake involves providing incomplete information about the owner or renter of the property. All sections must be filled out legibly and accurately. For instance, if the owner’s name, phone number, or address is missing or incorrect, this could result in invalidating the affidavit. It is essential that this information is precise to prevent any confusion about residency.

Some individuals misunderstand the requirement for signatures. Both the owner or renter and the parent or guardian need to sign the form. If either signature is absent, the affidavit cannot be processed. Additionally, the affidavit must be notarized, which is also often overlooked. A failure to have the document notarized renders it invalid, so ensure that this step is not skipped.

Misrepresenting the living situation is another significant mistake. The form requires a truthful declaration that the family is living at the stated address and not using it merely for school enrollment purposes. Misleading information can have severe consequences, including immediate withdrawal from the school. Honesty is not only the best policy but it is also legally required.

Lastly, neglecting to renew the affidavit annually can lead to issues with school enrollment. This document must be updated each year to confirm that the living arrangement is still valid. Forgetting this step can cause your child to lose their eligibility at the school. Make a calendar reminder to ensure timely renewal and maintain a smooth educational experience for your child.

Documents used along the form

The CCSD Residential Affidavit is a crucial document for families seeking to establish residency for school enrollment. In addition to the Residential Affidavit, several other forms and documents are commonly required to verify the residency of a student and their family. Below is a list of these documents with brief descriptions.

  • Government-Issued Photo Identification: A valid ID such as a driver's license, state ID card, or passport that confirms the identity of the parent or guardian.
  • Current Mortgage Statement: A recent document from the mortgage lender showing ownership of the property where the family resides.
  • Rental Lease Agreement: A legally binding document that outlines the terms of the rental between the landlord and tenant, which must include the names of both parties.
  • Utility Bill: A recent bill showing service for gas, water, or electric, reflecting the current address of the family. Cable and phone bills do not qualify.
  • Notarized Affidavit: The signed statement by the owner or renter of the property, confirming that the child and guardian are residing at the address provided, must also be notarized.
  • Student Enrollment Form: A form that collects essential information about the student, including personal details, parent information, and the desired school assignment.

These documents collectively help ensure that families are eligible for enrollment in the Clark County School District. Proper submission of these documents is essential for a smooth enrollment process.

Similar forms

The Ccsd Residential Affidavit form shares similarities with several other documents that serve to verify residency and ensure proper school enrollment. Here are six documents that closely resemble it:

  • Lease Agreement: Like the Residential Affidavit, a lease agreement establishes a legal relationship between a landlord and tenant, providing proof of residency with the tenant's name and property address clearly stated.
  • Utility Bill: A utility bill, such as gas, water, or electricity, is used to confirm residency. It shows the name of the individual residing at the property, much like the Residential Affidavit confirms the living arrangement.
  • Government-Issued Identification: Documents like a driver’s license or state ID provide essential identification for the individual. These documents often serve the dual purpose of establishing identity and residency.
  • Mortgage Statement: Similar to a lease, a mortgage statement indicates ownership of the property and can corroborate the validity of the residency claim made in the Residential Affidavit.
  • Child’s Birth Certificate: A birth certificate verifies the identity and age of a child, aligning with the goal of the Residential Affidavit to confirm that a child attends school based on their living situation.
  • Affidavit of Support: This is a sworn statement used to confirm that the issuing party will support the resident. It involves a declaration, akin to the Residential Affidavit, ensuring the same legal backing when addressing residency concerns.

Dos and Don'ts

When completing the CCSD Residential Affidavit form, there are important dos and don’ts to keep in mind to ensure a smooth process.

  • DO provide a government-issued photo ID, such as a driver’s license, passport, or state ID, along with the application.
  • DO include a current mortgage statement, rental lease agreement, or a rent receipt showing the apartment complex name.
  • DO submit a current utility bill that includes services like gas, water, or electricity, but avoid cable or telephone bills.
  • DO ensure that both the owner/renter and the parent/guardian sign the affidavit in front of a notary.
  • DON'T submit an address simply for the purpose of enrolling the child without proper residency.
  • DON'T forget to renew the agreement yearly, as it is a requirement.
  • DON'T include any false information; this could lead to withdrawal from the school.
  • DON'T overlook the eligibility restrictions regarding athletic participation for students under a Residential Affidavit.

Misconceptions

Many people have misunderstandings about the CCSD Residential Affidavit form. Here are nine common misconceptions along with clarifications:

  1. Anyone can use any address. This is incorrect. The affidavit must show a legitimate living arrangement, not just an address for school enrollment.
  2. A rental agreement is not needed. This is a misconception. A current rental lease or mortgage statement is required to validate residency.
  3. Utility bills can be from any service. Not true. Only gas, water, or electric bills are acceptable; cable and telephone bills do not qualify.
  4. The form can be signed at any time. This is misleading. The affidavit must be notarized and should be renewed every year.
  5. It's not necessary to provide identification. This is incorrect. Government-issued photo identification must be submitted alongside the affidavit.
  6. Parents can fill out the form without owner's signature. No, both the property owner/renter and the parent/guardian need to sign the affidavit.
  7. There are no restrictions on athletic participation. This is a misconception. Students using the affidavit may be ineligible for athletic activities unless an appeal is made.
  8. The affidavit is only a formality. In reality, providing false information can lead to serious consequences, including withdrawal from the school.
  9. Only the child’s name is needed on the form. This is incorrect. Both the names of the child(ren) and parent/legal guardian(s) must be provided.

Understanding these points can help in successfully completing the CCSD Residential Affidavit and ensuring compliance with regulations.

Key takeaways

Filling out the CCSD Residential Affidavit form is a crucial step for families seeking to enroll their children in a Clark County School District school. Here are key takeaways regarding this process:

  • The Residential Affidavit is required under CCSD Regulation 5111.
  • Both the owner/renter and the parent/guardian must sign the form before a notary.
  • Government-issued photo identification is mandatory for submission.
  • Acceptable proof of residence includes current mortgage statements or rental agreements.
  • Utility bills are also acceptable, but cable and telephone bills are not.
  • The affidavit must include the names and grade levels of all school-age children.
  • The statement should assert that the living arrangement is genuine, not just for school enrollment.
  • If the living situation changes, the family must notify the school promptly.
  • Annual renewal of the affidavit is required for continued enrollment eligibility.
  • Students using the affidavit are ineligible for athletic participation according to NIAA regulations, with an option to appeal.

Understanding these important points can streamline the enrollment process and ensure compliance with school district regulations.

Browse Other Templates

Borrower Authorization - This form is crucial for ensuring all financial contributors are recognized during loan modifications.

Mc040 - The form serves as an official record of contact details for legal proceedings.