Download change of address - Bellevue School District

3120P - Exhibit C
Bellevue School District
CHANGE OF ADDRESS
To officially change your student's address, you are required to reestablish residency.
State law requires that a student reside within the District boundaries and be able to prove
residency or have been approved for an Interdistrict transfer in order to enroll in school.
PREVIOUS ADDRESS
DATE OF MOVE
DATE OF BIRTH
SCHOOL
Parent/Guardian signature
PLEASE PRINT NAME
DATE
Please list below the names of additional students living at this new address who attend the Bellevue School District:
Student:
Last Name
First Name
School
Grade
Date of Birth
Last Name
First Name
School
Grade
Date of Birth
Last Name
First Name
School
Grade
Date of Birth
Student:
Student:
Please check the documents you have included with this notice.
To verify residency, you must provide two of the items listed below; each bullet counts as one item.
All addresses on the documents must match the address of your residence

Government Correspondence (e.g. car registration; Good to Go! bill or letter; letter from Social Security,
immigration, unemployment, health finder exchange or DMV; USPS Change of Address form; election
ballot. Correspondence from the Bellevue School District does not qualify as Government Correspondence)



Homeowner’s Insurance Policy Declaration

Unexpired Lease Agreement (must be signed by both parties with 2 months cancelled checks or proof of
online banking payment of lease)
Utility Bill (2 consecutive months of the same bill dated within the last 3 months – accepted utilities
include water, sewer, gas, electricity, or garbage; the mailing and service address must be the residence
address. Cable, internet and phone bills are not accepted.)

Property Tax bill (must have been received in the mail, not printed off a website)
Redacted 1099 or W-2 (Social Security Number and dollar amounts blacked out)
If you are part of the Washington State Address Confidentiality Program, an official letter from the
Address Confidentiality Program stating the attendance area school fulfills the requirement to establish
residency in the Bellevue School District.
If you are unable to provide any of the above items, please contact the District Student Placement office at
[email protected] or at 425-456-4200 to create and sign a Residency Agreement.
This Agreement will give you extra time to collect the needed documents.
Bellevue School District 6/13/17