Download Ccsd Residential Affidavit Template Access Editor Here

Download Ccsd Residential Affidavit Template

The Clark County School District Residential Affidavit form, known formally as CCF-792, is a crucial document for parents or guardians needing to register their children in a school within the district without traditional proofs of residency. The form requires declarations from both the parent or guardian and the homeowner or renter, asserting the child's residence at the address, accompanied by certain identification and housing documents. If a family's living situation changes or if the information provided is found to be inaccurate, it may result in the child's removal from the school, underlining the importance of truthfulness in completing this affidavit.

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The Clark County School District (CCSD) takes pride in ensuring that every student attends the school they are rightfully zoned for. This is where the CCSD Residential Affidavit form steps in - a crucial document for families in unique living situations. For those who might be living with a friend or a relative, or in a situation where their names aren't on the lease or mortgage documents, this form presents a straightforward solution. It requires the homeowner or renter where the child and guardian are residing to affirm that the living arrangement is legitimate and not merely for the purpose of attending a particular school. Alongside government-issued photo identification, the affidavit mandates the presentation of a current mortgage statement, rental lease agreement, rent receipt with the apartment complex name, or a utility bill, excluding cable and phone bills. The document binds the signer to a statement of truth under penalty of withdrawal of the child from the school if found otherwise. The affidavit, crucially, needs to be signed before a notary and is subject to yearly renewal. Furthermore, it's important to note the stipulation tied to athletic participation; students registered under this affidavit are initially ineligible for sports, although there is room for appeal. This measure emphasizes the district's commitment to fairness and regulation adherence, ensuring that all students partake in activities under the same eligibility criteria.

Document 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

Form Specifics

Fact Number Fact Detail
1 The form is mandated by the Clark County School District (CCSD) Regulation 5111.
2 It requires a government-issued photo identification and a current mortgage statement, rental lease agreement, or utility bill for proof of residence.
3 Cable and telephone bills are not acceptable as proof of residence.
4 The affidavit must be signed by both the owner/renter of the property and the parent/guardian in front of a Notary.
5 Any change in the living arrangement or termination of the residential agreement must be notified to the school.
6 Students attending school on a Residential Affidavit are ineligible for athletic participation per Nevada Interscholastic Activities Association (NIAA) regulation NAC 386.782.
7 Students may appeal the ineligibility for athletic participation, but an appeal does not guarantee eligibility.
8 The agreement must be notarized and renewed yearly.

Ccsd Residential Affidavit - Usage Steps

Filling out the Clark County School District Residential Affidavit form is a straightforward process but requires attention to detail to ensure all necessary parts are properly completed. This form is crucial for verifying your living situation to enroll your child in a school where you're residing but might not have utility or lease agreements in your name. Here's a step-by-step guide to help you fill out the form accurately.

  1. Start by entering the name of the school your child will be attending in the "School" field.
  2. Next, fill in the current school year in the "School Year" field.
  3. Provide a government-issued photo identification (such as a driver’s license, state identification card, or passport) and either a current mortgage statement/rental lease agreement/rent receipt with the apartment complex name or a current utility bill (gas, water, or electric—cable and telephone bills are not accepted). Note: These documents must be submitted to the school with the affidavit.
  4. In the section labeled as the declaration/agreement:
    • Print the owner/renter of property's full name where indicated.
    • Fill in the owner/renter's phone number.
    • Provide the complete Nevada address where you and your child are residing, including city, state, and zip code.
    • List the name(s) and grade level(s) of the child(ren) attending the school.
    • Enter the print name(s) of the parent/legal guardian(s) of the child(ren).
    • Re-enter the owner/renter's name to affirm the statement regarding residency and agreement to notify the school of any changes.
  5. Both the owner/renter of the property and the parent/guardian must sign the form in the presence of a Notary.
  6. Fill in the date when the document is being signed by writing the day, month, and year.
  7. Make sure the Notary completes their section, recording the signatures of both parties.

After you've completed and notarized the affidavit, submit it to the school along with the required documents as specified. This affidavit needs to be renewed annually, so keep a reminder for yourself to avoid any lapses in your child's enrollment. Remember, presenting false information or failing to update the school on changes to your residential situation may result in your child's withdrawal from the school. If participation in athletics is a goal for your child, be aware that students enrolling under this affidavit are ineligible but may appeal for reconsideration.

More About Ccsd Residential Affidavit

Welcome to the FAQ section for the Clark County School District (CCSD) Residential Affidavit Form CCF-792. Here, we’ll go over some of the most common questions related to completing and submitting this document to ensure your child can be enrolled in the CCSD under your current living situation. Our aim is to simplify the process, making it understandable for everyone involved.

  1. What is the purpose of the CCSD Residential Affidavit Form?

    The CCSD Residential Affidavit Form serves as a means for parents or guardians who do not have traditional proof of residency documentation to prove that their child resides within the school district's boundaries. This situation often arises when the family is living with another person and the utilities or lease agreements are not in their name. By completing this form, the parent or guardian asserts that the child and they reside at an address within the district, allowing the child to enroll in the local school.

  2. What documents are required alongside the Residential Affidavit?

    In order to submit the Residential Affidavit successfully, the parent or guardian must also provide:

    • A government-issued photo identification, such as a driver's license, state-issued ID card, or passport.
    • Either a current mortgage statement, rental lease agreement, or rent receipt if living in an apartment. The document must be current.
    • Or a current utility bill (gas, water, or electric). Please note, cable and telephone bills are not considered acceptable forms of proof.

    These documents validate the residence information provided in the affidavit.

  3. Who needs to sign the Residential Affidavit?

    The Residential Affidavit must be signed by both the owner or renter of the property where the family is residing and the parent or guardian of the child. An important step is that these signatures must be notarized. It ensures that all parties acknowledge and understand the declaration made in the affidavit concerning the residence of the child and parent/guardian.

  4. What happens if it's discovered that the information in the affidavit is false or if the living situation changes?

    If it's found that the affidavit contains false statements regarding the residency status, or if the living arrangements change, this could lead to immediate withdrawal of the student from the school they're enrolled in under the affidavit. It's the responsibility of the signer(s) to notify the school immediately if there's a change in the residency status to avoid potential legal and academic consequences.

  5. Are there any restrictions on students enrolled with a Residential Affidavit?

    Yes, according to Nevada Interscholastic Activities Association (NIAA) regulation NAC 386.782, students who are attending a school based on a Residential Affidavit are deemed ineligible for athletic participation. However, there is an opportunity for students to appeal this regulation, though it's important to remember that an appeal does not automatically guarantee athletic eligibility.

Common mistakes

Filling out the Clark County School District (CCSD) Residential Affidavit form requires care and attention to detail. Common mistakes can lead to delays or issues in enrollment. Being aware of these mistakes can help ensure the process goes smoothly.

  1. Not providing all required documents alongside the affidavit is a frequent oversight. The form mandates accompanying government-issued ID and a current mortgage statement, lease agreement, rent receipt, or utility bill. Cable and telephone bills are not accepted, so it's vital to provide the correct type of proof.

  2. Incorrectly filling out the school name or school year can also lead to delays. It's essential to print this information clearly to avoid confusion.

  3. Another common error is not printing the names of children and their grade levels legibly. This information helps the school verify the student's eligibility and placement.

  4. Often, the owner/renter's name, phone number, and address details are either incomplete or illegible. Since this form verifies residency through the property owner or renter, their information must be accurately and clearly provided.

  5. Forgetting to sign the document before a notary can invalidate the affidavit. Both the owner/renter of the property and the parent or guardian are required to sign the form in the presence of a notary to attest to its truthfulness.

  6. Omitting the date when the document was notarized is a minor mistake with major consequences. Without this, the affidavit cannot be processed as it’s unclear when the declaration was officially made.

  7. Failure to understand the affidavit's implications, especially regarding the declaration about the address not being used expressly for school enrollment can lead to legal issues. It's important that both the resident and the parent or guardian comprehend this before signing.

  8. Not notifying the school upon termination of the residential agreement as agreed upon in the affidavit can cause unnecessary complications. It is both parties' responsibility to inform the school of any changes in living arrangements as soon as possible.

  9. Overlooking the note about athletic eligibility is also common. Students enrolling under a Residential Affidavit are ineligible for athletic participation, according to NIAA regulations. Awareness and acknowledgment of this provision are crucial for students interested in athletics.

  10. Last, failing to renew the affidavit yearly can result in enrollment issues. This document is not a one-time submission but must be updated each school year to reflect current living arrangements and maintain enrollment status.

By avoiding these common errors, the affidavit submission process can be a seamless step towards ensuring a child's successful enrollment in school. It's all about paying attention to the details and understanding the importance of each part of the form. Encouragement and responsibility are key to navigating this process efficiently.

Documents used along the form

When enrolling a child in the Clark County School District using the Residential Affidavit form, there are often several other documents required to ensure compliance with district regulations. This not only serves to maintain the integrity of the enrollment process but also ensures that all students are rightfully placed in schools that best meet their educational needs. Understanding these supplementary documents can streamline the enrollment process for both guardians and school administrators.

  • Government-Issued Photo Identification: This document verifies the identity of the parent or guardian submitting the affidavit. Types of acceptable identification include a driver’s license, state-issued identification card, or passport.
  • Mortgage Statement/Rental Lease Agreement/Rent Receipt: One of these documents is needed to confirm the residency status of the guardians and child. A mortgage statement or lease agreement showcases the ownership or rental status, whereas rent receipts can serve as proof of ongoing rental arrangements.
  • Utility Bill: A current utility bill (gas, water, or electric) serves as an additional proof of residency. Cable and telephone bills are explicitly excluded from being used as valid documents for this purpose.
  • Birth Certificate: While not mentioned in the affidavit instructions, a birth certificate is often required for school enrollment to verify the child’s age and to ensure they are placed in the appropriate grade level.
  • Immunization Records: Schools require up-to-date records of a child’s vaccination history to comply with state health regulations. This ensures the safety and well-being of all students attending the school.

Together with the Residential Affidavit, these documents create a comprehensive set of requirements that address both legal and regulatory concerns associated with school enrollment. By adhering to these requirements, parents and guardians can ensure a smooth enrollment process for their children, thereby setting the stage for a successful and productive academic year. Understanding the importance of each document helps to underscore the collaborative effort between families and schools to support educational attainment.

Similar forms

The Utility Bill Proof of Residency form is similar to the CCSD Residential Affidavit form as both demand verification of a person's residency through utility bills. This form is typically used by various organizations to establish proof of address and residency, requiring current utility bills (gas, water, or electric) similar to the CCSD's stipulation. The key difference lies in its broader application outside of the educational sphere, serving as a versatile document for various verification processes.

A Lease Agreement stands in conjunction with the Residential Affidavit form by serving as another form of residency verification. Both documents may require a current rental agreement as proof of address. While the lease agreement contract is between a landlord and tenant outlining terms of the rental, the Residential Affidavit uses the information on the lease to confirm the residence for school enrollment purposes.

Driver’s License or State ID Application forms are akin to the CCSD Residential Affidavit in their requirement for proof of residency. These government-issued ID applications commonly ask for documents to establish residency, similar to how the affidavit requires a utility bill or lease agreement. While serving different ends—one for identification, the other for school enrollment—they both mandate proof of address as a critical component of the application process.

The Voter Registration form also shares similarities with the Residential Affidavit, particularly in verifying an individual's current address to ensure they're voting in the correct district. Like the affidavit, which uses utility bills and lease agreements for residency proof, the voter registration form also asks for similar documents to prevent electoral fraud and maintain the integrity of the voting process.

Bank Account Opening forms frequently necessitate the submission of proof of residency, echoing the requirements seen in the CCSD Residential Affidavit. Both seek to ascertain the applicant's address through documents like utility bills or lease agreements. This verification safeguards against fraud and establishes the client’s address for official banking correspondence.

Tax Return documents, particularly those requiring proof of residency for tax benefits or declarations, can be compared to the Residential Affidavit. For tax purposes, proving residency can determine tax rates or eligibility for local deductions, similarly using documents like utility bills as evidence of residency, underscoring the importance of address validation in diverse administrative contexts.

Public Library Card Application forms often require proof of local residency to ensure access to community-specific resources, akin to the CCSD Residential Affidavit's objective for school enrollment. By requiring documents to establish residency, both forms work to align services with those who legally reside within the jurisdiction, albeit serving different community functions.

Immigration and Naturalization Service (INS) forms demand extensive proof of residency for various processes, ranging from visa applications to citizenship tests, reflecting the documentation rigor seen in the CCSD Residential Affidavit. Though the contexts are vastly different, the emphasis on proving one's residency status through documents like lease agreements or utility bills is a critical parallel, underscoring the importance of address verification across governmental and educational domains.

Dos and Don'ts

When completing the Clark County School District Residential Affidavit, it is important to follow the guidelines carefully to ensure the process is completed accurately and efficiently. Here are some dos and don'ts to consider:

  • Do ensure you have the necessary documents 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 (excluding cable and telephone bills).
  • Do print the school name and school year clearly at the top of the form to avoid any confusion.
  • Do provide accurate and truthful information about the child(ren)'s and parent/legal guardian's residence.
  • Do sign the form before a Notary Public along with the owner/renter of the property to fulfill the requirement for the affidavit to be notarized.
  • Do remember that the affidavit needs to be renewed yearly, so keep a reminder for its renewal to maintain the child(ren)'s enrollment at the related school.
  • Do understand the implications for athletic participation as outlined by the Nevada Interscholastic Activities Association (NIAA) regulation, which may affect students attending school on a Residential Affidavit.
  • Don't use this affidavit for the purpose of enrolling a child in a school for which they are not actually zoned by residence without understanding the serious implications and potential consequences.
  • Don't overlook the importance of informing the school immediately if the living arrangements change, as it could affect the child(ren)'s enrollment status.
  • Don't provide falsified information. The statement that the family is not using the address just for the purpose of school enrollment must be true. Providing false information can lead to the withdrawal of the child(ren) from the school and possible legal consequences.
  • Don't forget to include the printed names and contact information of the owner/renter of the property clearly, as ambiguous or incomplete information may delay the process.
  • Don't submit the affidavit without the required signatures, as the form is considered incomplete and invalid without them.
  • Don't neglect the requirement for the form to be notarized, as attempting to submit the affidavit without fulfilling this legal requirement will result in its rejection.

Misconceptions

When it comes to navigating the complexities of school registration processes, particularly within the Clark County School District (CCSD), the Residential Affidavit form CCF-792 often comes into play. This form is essential for families living in a residence that they do not own. Despite its importance, there are several misconceptions surrounding this document that can complicate the process. Here are nine common misconceptions explained:

  • It’s only for families without a fixed address. A common misconception is that the Residential Affidavit is designed exclusively for homeless families or those without a fixed address. In reality, this form is also for families staying in a property they do not own, such as living with relatives or friends, to prove their residential status within the district.

  • Cable and telephone bills are acceptable forms of proof. Contrary to what some might believe, the CCSD Residential Affidavit clearly states that cable and telephone bills are not accepted as proof of residence. Only utility bills for services like gas, water, or electric, along with a government-issued photo ID and a current mortgage statement/rental agreement, are accepted.

  • The affidavit does not require notarization. Every CCSD Residential Affidavit must be notarized to be considered valid. Both the property owner/renter and the parent or guardian must sign the affidavit in front of a notary to ensure its authenticity.

  • Any school in the district will accept it. While the Residential Affidavit is a district-wide form, submission must be to the school where enrollment is sought. Not all schools in the district might have the same requirements or capacity, and specific conditions related to zoning and enrollment capacities might affect registration.

  • The form allows for immediate athletic participation. According to NIAA regulation NAC 386.782, students enrolling under a Residential Affidavit are initially ineligible for athletic participation. They may appeal, but success in an appeal does not automatically guarantee athletic participation.

  • Once approved, the affidavit lasts as long as the student is at the school. The Residential Affidavit must be renewed yearly, reflecting any changes in residence or to confirm ongoing eligibility under the original terms. This is to ensure that all records are up to date and that the family’s living situation hasn’t changed.

  • Submission of the affidavit guarantees enrollment. Submitting a Residential Affidavit doesn’t automatically enroll a student in the school. The affidavit is part of a larger enrollment process, which may include providing additional documentation, immunization records, and meeting other requirements.

  • It is exclusively for students new to CCSD. Whether a student is new to the district or transitioning between CCSD schools, they might need a Residential Affidavit if their living situation falls under the conditions described. It’s not only for first-time CCSD enrollees.

  • The affidavit can be used to enroll in any school year-round. Enrollment periods and deadlines vary by school and district policies. Families should check with their intended school for specific deadlines related to the use of the Residential Affidavit for enrollment purposes.

Understanding the accurate details and requirements of the CCSD Residential Affidavit can smooth the path to enrolling your child in the school that best meets their needs while ensuring compliance with district policies.

Key takeaways

Filling out the Clark County School District Residential Affidavit requires careful attention to detail and adherence to the district's requirements. Here are some key takeaways to guide you through the process.

  1. Identification and proof of residence are mandatory. Every family must provide a government-issued photo ID alongside a current mortgage statement, rental lease agreement, or utility bill to demonstrate residence within the school’s jurisdiction.
  2. Specific documents are accepted as proof of residence. Utility bills for gas, water, or electric are valid, but cable and telephone bills are not considered acceptable forms of verification.
  3. The affidavit necessitates notarization. Both the owner/renter of the property and the parent or guardian must sign the affidavit in the presence of a notary, reinforcing the document's legitimacy.
  4. Annual renewal is required. The affidavit isn't a one-time submission but needs to be renewed and notarized anew each school year to confirm ongoing residency.
  5. Accuracy of information is critical. By signing the affidavit, the property owner/renter confirms that the child(ren) and parent/guardian are genuinely residing at the address provided, and not merely using it for school enrollment purposes.
  6. There are consequences for false statements. If it's discovered that the information provided in the affidavit is false, or if the living arrangement changes, students will be immediately withdrawn from the school.
  7. Communication with the school is essential. The property owner/renter agrees to notify the school if the residential arrangement terminates, ensuring that school records accurately reflect the student's living situation.
  8. Athletic participation is affected. Students enrolled at a school based on a residential affidavit are ineligible for athletic participation, as per Nevada Interscholastic Activities Association (NIAA) regulations, though an appeal is possible.
  9. An appeal does not guarantee athletic eligibility. Even though students may appeal the provision regarding athletic participation, it does not ensure they will be deemed eligible for sports.

Understanding these key points ensures that families and property owners/renters navigate the affidavit process effectively, maintaining compliance with CCSD regulations and supporting the educational journey of students within their care.

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