Change of Address

First Name

Middle Initial

Last Name

FCC Student ID# (Without the "W")

Correct: 1234567
Incorrect: W1234567

Date of Birth

Mobile Phone Number

Please check all that apply:

Documents Accepted for Proof of Identity

Birth Certificate
Certificate of Naturalization
Driver's License / MVA ID Card
Passport
School ID Card

Previous or Incorrect Address

What are we changing your address from?

Previous or Incorrect Address

What are we changing your address from?

Country

Street

City

Region

Postal Code

New Address

What are we changing your address to?

(Note: Must be a physical street address — P.O. Boxes are not allowed.)

New Address

What are we changing your address to?

(Note: Must be a physical street address — P.O. Boxes are not allowed.)

Country

Street

City

Region

Postal Code

How long have you lived at this address?
Years

Months

Documents Accepted for Proof of Residence

Note: Documents must have student's name listed.

Credit Card Statement
Current Utility Bill (Electric, Gas, Cable, Internet, Phone)
Government-Issued Document (Driver's License, State ID)
Insurance Policy
Letter from Public Authority (e.g., Court)
Military Orders
Mortgage
Motor Vehicle Registration Card
Signed Lease
State Tax Form
Voter Registration Card

Would you like to change your tuition rate?

(Ex. Change out-of-state tuition cost to in-state. This would require living at the new address for at least three months. Please see note below.)

Would you like to change your tuition rate?

(Ex. Change out-of-state tuition cost to in-state. This would require living at the new address for at least three months. Please see note below.)

Yes

No

RESIDENCY NOTE: Students must submit official documentation in support of address changes. Students whose tuition rate would be lowered by a change in home address (i.e. moving from another Maryland county to Frederick County, or from out of state to Frederick County) must present proof of living at the new address for a minimum of three months before tuition rate may be changed. A student who changes their home address during a semester will not have their tuition retroactively adjusted during that semester, but may be entitled to such adjustment the following semester.
(The official version of the Residency Policy & Procedures can be found here: https://www.frederick.edu/jobs-hr/policies-and-procedures/policyproceduredocuments/residency.aspx)

Change of Tuition Rate

Residency Documentation Requirements

Please attach one of the following:

Maryland driver’s license showing new address, or a Maryland MVA-issued ID
Motor vehicle registration with new address specified (Vehicle Registration Card)
Payment of Maryland state and local income taxes (MD 502 Tax Form)
Proof of ownership or rental of living quarters where the student resides (12-month lease or mortgage)
Registration to vote in Frederick County and/or the state (Voter Registration Card)
Military exception: Active duty personnel, honorably discharged veterans, spouses, and dependents residing, stationed, or domiciled in Maryland are exempt from the 3-month requirement and are considered in-county once proof is shown. (Military orders, letter from Education Officer, DD214, and any of the residency factors above)

I certify that the information I have provided on this form is complete and accurate. I understand that failure to provide accurate information, particularly regarding residency, may be grounds for denial of admission, dismissal from the college, and / or retroactive adjustment of tuition and fees.

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