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Change of Residency Form

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Last Name: 

First Name:

Social Security Number:

Birth date: 

E-Mail Address: 

Phone: 

I am requesting a change in residency for the following reason:

A minor (under 21 years of age) whose parent(s) or legal guardian has been a resident of Wyoming for at least one year and has no legal residence elsewhere. (Submit proof of full-time employment and/or home ownership.)

Legal Address:

City:

State: 

Zip:          

Date moved to the above address: 

 

An adult who has established permanent residence in the state for a continuous period of one year prior to this date.  Residency in the state primarily as a student does not apply.  (Submit proof of employment and/or home ownership.)

Address:

City:

State: 

Zip:       

Date moved to the above address: 

 

A person who has been temporarily absent from the state due to military service or education purposes and who was a resident of Wyoming at the time of departure.

Address:

City:

State: 

Zip:

Date moved to the above address:

 

Other (Please explain in detail below.)


The student may be required to submit additional proof of residency such as driver's license, proof of voter registration, proof of employment, and/or home ownership.

I declare under penalty of perjury that the above disclosure is, to the best of my knowledge and belief, true, correct, and complete.

Submission of the request constitutes the students signature on the request.

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If you have any questions please feel free to contact us at: registration@wwcc.wy.edu.

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