Online form - HACC

Please complete the following information to process your HACC Certificate of Residency. All information must be completed thoroughly and accurately.

You must have been a resident of Cumberland Valley School District on or before July 1, 2023, in order to qualify for your Certificate of Residency.

Please be advised that Certificate of Residency information will be submitted directly to HACC within 7-10 business days. You will not receive a paper copy of your Certificate.

Please note, students need not re-apply every semester for a new certificate. The certificates are valid for the entire school year, from July 1 through June 30 (summer).

 

By selecting 'yes' below, I certify that I was a resident of Cumberland Valley School District at the address listed below effective July 1, 2023. Yes, I was a resident at the address below on July 1, 2023

By checking 'yes' below, I acknowledge that my name and address will be provided to the Cumberland County Tax Bureau Yes, I acknowledge CVSD will provide my name/address to the Cumberland County Tax Bureau.

HACC ID

First Name

MI

Last Name

Street Address

City

State PA

Zip Code

Township Hampden TownshipMiddlesex TownshipMonroe TownshipSilver Spring Township

Telephone Number (including area code)

Email Address

Last four digits ONLY of Social Security #

Semester

School District Cumberland Valley

Today's date (mm/dd/yyyy)

Birth Date (mm/dd/yyyy)

Security Measure

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