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Certificate of Residency Submission
Student ID #
First Name
Last Name
Birthdate
Birthdate
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1
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1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
What County are are you submitting your Certificate of Residency for?
Albany
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
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Fulton
Genesee
Greene
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Herkimer
Jefferson
Lewis
Livingston
Madison
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Otsego
Putnam
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Saratoga
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Schoharie
Schuyler
Seneca
St Lawrence
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
Please upload your Certificate of Residence below:
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