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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH VERIFICATION OF RESIDENCY TRAINING FORM Applicant Enter your full name and birth date on this form and forward it to the Chief of Staff or Program Director at the facility in which you completed your residency training. This form must be completed by the facility and returned directly to this office. Applicant s Name Date of Birth Chief of Staff/Program Director Please provide the following verific.

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A family member proof of residency letter verifies that someone else lives in the residence. The family member, usually a parent or grandparent, is often used to prove to a school district, university, or to the State government department that an individual has been living on the premises.

Utility bill, e.g. municipal water and lights account or property managing agent statement. Bank statement. Municipal councillor's letter. Tax certificate.

Bank or credit card statement. Utility bill. Driving licence. Mortgage statement or tenancy agreement.

I, [Your full legal name], am the landlord of [Name of your resident]. I'm writing to acknowledge and confirm that [he/she] resides at [Street address, City, State] and has done so since [Day/Month/Year] as my tenant. [Tenant's name] lives in the home with [Names of other residents who live with the tenant].

Proof of address a recent utility bill - gas/electricity/water/TV licence. a recent bank or credit card statement (not both) driving license. entitlement to benefits letter e.g.Child Benefit (pages 1& 2)/ child tax credit/ housing benefit/income support/jobseekers allowance/universal credit.

This information can come from a number of documents, but is necessary to proving where you live. A utility bill, credit card statement, lease agreement or mortgage statement will all work to prove residency. If you've gone paperless, print a billing statement from your online account.

You may use a driver's license or government-issued, non driver's identification. If you do not have this, or the address is not current, then you can take pay stubs, mortgage statement, rental payment statement, utility bill, etc. The officer interviewing you will determine sufficiency.

I'm writing to acknowledge and confirm that [he/she] resides at [Street address, City, State] and has done so since [Day/Month/Year] as my tenant. [Tenant's name] lives in the home with [Names of other residents who live with the tenant]. [Tenant's name] pays me [Rent amount] each month on [Date].

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232