Proof Of Residency Letter Form PDF Details

If you're an individual or family looking to establish residency in a new area, then you may need to provide proof of residence. It is common for landlords, government agencies and other organizations to require a Proof Of Residency letter as verification that the person(s) listed on the form actually reside at their given address. Fortunately, it's simple and straightforward to obtain this document: all you need is a completed Proof Of Residency Letter Form! In this blog post, we'll take a close look at what such letters are used for and how they can help prove your residence status. We'll discuss why these forms are necessary and how they should be filled out correctly - so let's get started!

QuestionAnswer
Form NameProof Of Residency Letter Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesproof of residency letter pdf, proof of residency letter doc, voter, proof of residency letter template pdf

Form Preview Example

OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

PROOF OF OHIO RESIDENCY-CERTIFIED STATEMENT

This form must be completed when the Applicant for an Ohio driver’s license (DL) or Ohio ID card cannot provide proof of an Ohio street address through documents listed on the Ohio BMV Acceptable Documents List.

A dependent child may have an address confirmed by a parent or guardian who has proof for the same address. A married person may have an address confirmed by a spouse who has proof for the same address.

An Applicant may have the address confirmed by an appropriate Agency (homeless shelter, nursing home, half-way house, faith-based institution, or other legitimate social services agency) whose authorized agent confirms the address listed.

PLEASE TYPE OR PRINT ALL INFORMATION LEGIBLY. ALL FIELDS ARE REQUIRED, EXCEPT WHERE NOTED. (*)

APPLICANT’S FIRST NAME

MIDDLE NAME OR INITIAL

LAST NAME

DATE OF BIRTH

OHIO STREET ADDRESS

CITY

STATE

OHIO

ZIP CODE

I certify that I am the person described above, that I am a permanent resident of the state of Ohio, that I do not have documentary proof for the above street address, that I am authorized to use the above address to receive mail and legal notices, and that I request that the address be entered as my address on any Ohio driver license or Ohio ID issued to me.

APPLICANT’S SIGNATURE: X

DATE:

 

 

 

CERTIFICATION BY PARENT OR GUARDIAN OF DEPENDENT CHILD OR SPOUSE OF MARRIED APPLICANT

PARENT OR STEP-PARENT

GUARDIAN

SPOUSE

 

 

 

FIRST NAME

MIDDLE NAME OR INITIAL

LAST NAME

 

 

 

I certify that I am the parent, stepparent, guardian, or spouse of the applicant as indicated above, that the applicant is a permanent resident of the state of Ohio, that my address and the applicant’s address are the same, and that I have presented documentary proof

of my Ohio resident street address.

PARENT/GUARDIAN/SPOUSE SIGNATURE: X

DATE:

 

 

 

OR CERTIFICATION BY SOCIAL SERVICES AGENCY (IF NO PARENT, GUARDIAN, OR SPOUSE CERTIFICATION)

NAME OF AGENCY

DESCRIBE NATURE OF AGENCY (HOMELESS SHELTER, NURSING HOME, HALF-WAY HOUSE, FAITH-BASED INSTITUTION, ETC.)

ADDRESS OF AGENCY

CITY

 

 

STATE

 

 

ZIP CODE

 

 

 

 

NAME OF AUTHORIZED AGENT

TELEPHONE NUMBER

*FAX NUMBER OR EMAIL ADDRESS (Optional)

 

(

)

-

(

)

-

 

I certify that I am an authorized agent of the above Agency, that the Applicant described above is a client of or is known to the Agency, that to the best of my knowledge and belief the applicant is a permanent resident of the state of Ohio, that the applicant does not currently have documentary evidence of a permanent street address, but that the applicant can receive mail and legal notice at the address listed above.

AUTHORIZED AGENT’S SIGNATURE: X

DATE:

 

 

 

WARNING: This document is part of an application for a state license or ID. Making a false statement on this document may constitute the crime of falsification, a misdemeanor of the first degree, RC 2921.13.

BMV USE ONLY (VERIFICATION)

AGENCY CONFIRMATION

DATE

 

 

PROOF PRESENTED BY PARENT/GUARDIAN/SPOUSE

 

 

 

D/R EMPLOYEE

MANAGER OR DEPUTY REGISTRAR

 

 

BMV 2336 4/10