Walworth, NY · Wayne County
Application for Wayne County Certificate of Residence
Students use this application to request a Wayne County Certificate of Residence through the Walworth Town Clerk for community college enrollment.
What this form is
This application is for a student seeking a Wayne County Certificate of Residence issued by the Walworth Town Clerk. It asks for the student's name, planned community college, legal permanent address, county, and length of residence. If the student has lived at that address for less than one year, the form asks for the previous address and length of time there, along with the applicant's signature and date.
Who needs it
A student planning to enroll in community college who is requesting a Wayne County Certificate of Residence through the Walworth Town Clerk needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; the document lists no notarized attachment or related step, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Certificate of Residence application for Walworth.
- 2
Complete The Student Details
Enter your name, planned community college, permanent address, county, and length of residence.
- 3
Add Previous Address If Needed
If you have lived at your current address for less than one year, list your previous address and length of time there.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Certificate of Residence application?
- No. The application has no notary block or notarized attachment; the applicant signs and dates the form.
- How do I submit the Certificate of Residence application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for the student's name, planned community college, permanent address, county, and length of residence. If the address is less than a year old, it asks for the previous address and length of time there.
Need something notarized?
This Application for Wayne County Certificate of Residence doesn’t need a notary — but if you have another Walworth form that does, a commissioned online notary can help.