NORTH HILLS SCHOOL DISTRICT Change of Address Form

Student Name: _____________________________________________________________________

School: ______________________________________ Grade Level: _________________________

Previous Address: ___________________________________________________________________

New Address: ______________________________________________________________________

Along with the change of address form, three forms of verification of residency must be presented to your school as follows:

•	Elementary families: Respective school office •	Middle School: 412.318.1456
•	High School: Grade 9/10 - 412.318.1410 or Grade 11/12 - 412.318.1405

One from Section A:

•	Current deed or lease

•	Wage tax statement form from Ross or Borough of West View (only the address portion needs to be visible)

Two from Section B:

•	Current driver’s license (with new address)

•	Utility bill (only address portion needs to be visible) •	Automobile registration
•	Tax statement (only address portion needs to be visible)

•	Paystub, Public Assistance or SSI or Medical Assistance Card with line number

______________________________________________________________________ Parent/Guardian Signature and Date

___________________________________________________________________________________________

FOR OFFICE USE ONLY: Scanned and sent to: _______________________ (Names of Buildings) _________ (Date)

________ Transportation Notified (T. Jones) __________ (Date)