Proof of Residency: Frequently Asked Questions

1. What should I do if I submitted a proof of residency, but it was marked invalid? Proof of residency items must be
in the name of the parent/guardian as listed in Connexus®, our education management system. If your documents are in
another name, go to question two below. Otherwise, please review the following additional information, which should help
you locate a document that provides what we need:
 Utility bills: We will look to see if the service location (not the mailing address) matches the address you
provided in Connexus. In addition, the billing date should be within the standard time period that is listed on your
caretaker home page.
 Mortgage statements: The document must identify the address you provided in Connexus as the mortgaged
property. We cannot accept a document that identifies the property by account number or by a lot number. In
addition, the billing date must be within the standard time period listed on your caretaker home page.
 Lease agreements: Current lease agreements can be used as proof of residency. If your lease is very long and
you are unable to send the entire document, please be sure to send (a) the pages that identify both you and the
landlord, (b) the pages that describe the lease terms, AND (c) the signature section signed by both parties. If your
lease has month-to-month terms and was signed more than 60 days ago, you may submit it with a recent rent
receipt or a verification letter from a leasing agency on company letterhead.

2. What do I do if the acceptable proof of residency items are all in the name of someone other than the enrolling
parent/legal guardian? The person named on the proof of residency document will need to supply a copy of that
document, along with a completed, signed, and notarized Statement of Shared Domicile form.

3. What do I do it the acceptable proof of residency items are not in my name, but a Shared Domicile form is not
right for our situation? We should be able to assist. Please gather any documents you have on file that do show your
name and address and call us at 1-800-382-6010 to speak to an enrollment advisor.

Please contact enrollment at 800-382-6010 if you have additional questions.

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 Notarized Statement of Shared Domicile
Form Facts
What: Use this form only if your family’s proof of residency document is in the name of someone other than the parent/legal
guardian listed in Connexus®, our education management system.
Instructions: 1) Complete the parent/legal guardian section. 2) The person listed on the proof of residency document must
complete the resident owner/leaseholder section. 3) The resident owner/leaseholder must take this form, his or her photo ID, and
the proof of residency document(s) to be notarized by a notary public. 4) Submit the notarized form (one per household) along with
an acceptable proof of residency document, as described on the enrollment checklist or your Connexus home page.
Where: Submit by upload link on your Connexus home page (www.connexus.com) | Fax: 800-887-6590
rd
Mail:10960 Grantchester Way 3 Floor, Columbia, MD 21044

Parent/Legal Guardian Section

This section must be completed by the parent/legal guardian of the household. Please list the address where you and your
child(ren) currently live:
Street Address __________________________________________________________________________________________
Apartment/Unit # __________________________ County ________________________________________________________
City ______________________________________ State _____________________________ ZIP Code __________________
Parent/Legal Guardian Name _________________________________________
Please list the names of the adults and children residing with you at the above address. Include first and last names.
___________________________________ ____________________________ ___________________________________
___________________________________ ____________________________ ___________________________________
___________________________________ ____________________________ ___________________________________

Owner/Leaseholder Section
This section must be completed by the owner/leaseholder listed on the proof of residency document(s). IMPORTANT: To be
valid, this form must be notarized (signed in the presence of a notary public).
Proof of residency being submitted (check one)*:
Most recent gas, water, or electric bill showing service location
Most recent mortgage statement or signed lease agreement

By signing below, I certify that the adult(s) and child(ren) listed above currently reside with me at the above address and that this
information is true to the best of my knowledge.
Resident Owner/Leaseholder’s Name _______________________________________________________________________
Please print and sign.
Resident Owner/Leaseholder’s Signature ______________________________________________ Date __________________
Phone _______________________________________
*Families applying in Georgia and Utah may need the owner/leaseholder to submit two proof of residency documents and
should review the enrollment checklist for additional information.
Notary Public Section
The notary public witnessing this form must complete this section for this form to be valid.
Place Notary Stamp here:
Notary Public Name _____________________________
Notary Public Signature __________________________
Date _________________________________________
Notary Commission Expiration Date ________________

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