Chautauqua County, NY · Chautauqua County
Affidavit and Application for Certificate of Residency
Chautauqua County residents use this application to request a certificate of residence for enrollment at a community college.
At a glance
- Issued by
- City of Chautauqua County · Chautauqua County, Chautauqua County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chautauquacountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This affidavit and application requests a Chautauqua County certificate of residence for someone planning to enroll in a community college. It states that the applicant has been a New York resident for at least one year and asks for residence and address history, college, semester, year, Social Security number, and contact information. The form cites a six-month county residency requirement.
Who needs it
A person planning to enroll in a community college who needs a Chautauqua County certificate of residence should complete this application.
How to submit it
Submit it to the Chautauqua County office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the form asks the applicant to swear or affirm, and the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Affidavit and Application for Certificate of Residency.
- 2
Complete the Form
Provide your residence and address history, planned college, semester, year, Social Security number, and daytime phone number.
- 3
Sign the Application
Swear or affirm the statements and sign and date the form.
- 4
Submit to the County
Submit the application to the Chautauqua County office named on the form; check the county website for current contact details.
Frequently asked questions
- What is the Certificate of Residency Application for?
- It asks Chautauqua County to issue a certificate of residence for someone planning to enroll in a community college.
- Who should complete this application?
- A person planning to enroll in a community college who needs a Chautauqua County certificate of residence should complete the affidavit and application.
- Do I need a notary for the Certificate of Residency Application?
- No. This document is signed without a notary. It asks the applicant to swear or affirm, and the signer just signs and dates it.
- How do I submit the Certificate of Residency Application?
- Submit it to the Chautauqua County office named on the form; check the county website for current contact details.