Change of Address Form

Student Change of Address Form

New Albany Plain Local Schools
List all students who reside at this new address*
New Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Effective Date*

MonthDayYear
Date
Custodial Parent/Guardian Name*

First NameLast Name
Custodial Parent/Guardian Email*
example@example.com
Custodial Parent/Guardian Phone Number*
Please enter a valid phone number.
Families who move within the school district will need to complete a change of address form and provide proof of residency.

You must upload the required proof of residency documents with this form.

1. Upload ONE of the following:
- Current mortgage statement or deed
- Real Estate tax statement (cannot be downloaded from the auditor's website)
- Current signed lease agreement (all pages, all terms, all occupants listed including children)
- Voter registration (name must match to the auditor's website; does not apply to leases)
Upload your required proof of residency from list above.*

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2. Upload a current gas or electric bill

If applicable, you may be required to complete the 90 Day Waiver or Famlies Residing with Relatives or Friends Form. These forms must include the parent/guardian's name and address in the school district. Forms can be found here.
Upload a current gas or electric bill*

Upload current gas or electric bill (if you just moved in, please login to your account and take a screenshot of the following; your name, new address, start date of service or next bill due date)
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Has there been a change in the residential parent's marital status?*

YesNo
If yes, please upload the current court order or decree.

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Non-residential Parent Name

First NameLast Name
Non-residential Parent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENT/GUARDIAN CERTIFICATION

I state that the information provided is true and correct. I am aware that the New Albany-Plain Local School District may use any legal means to verify my residence. I understand that falsification of information may be cause for withdrawal of my child from the New Albany-Plain Local School District and subject me to the applicable civil and criminal penalties.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Student Change of Address Form