Get Co Denver County Residency Affidavit 2017-2026

Completing the CO Denver County Residency Affidavit is essential for verifying residency on behalf of an applicant for the Colorado Indigent Care Program (CICP). This guide will provide a clear, step-by-step process to assist users in filling out the affidavit accurately and efficiently online.

Follow the steps to complete the CO Denver County Residency Affidavit online.

1. Press the ‘Get Form’ button to access the CO Denver County Residency Affidavit and open it in your preferred editor.
2. In the first section, enter the full legal name of the person providing residence for the CICP applicant in the designated space.
3. Fill in the complete street address, including apartment number, city, state, zip code, and county where you reside.
4. Provide your phone numbers in the appropriate fields for home, cell, and work.
5. Specify the name of the CICP applicant in the relevant field.
6. Select the appropriate checkbox that describes the relationship and living situation between you and the applicant.
7. In the certification section, affirm your agreement to provide documentation of residency and authorize verification of the provided information.
8. Sign and date the affidavit in the space provided, ensuring that both you and the CICP applicant sign the form where indicated.
9. If applicable, have the enrollment specialist sign and date the affidavit.
10. After completing all sections, make sure to save your changes. You can download, print, or share the form as needed.

Complete your documents online today for a seamless experience.