Online form - HACC

Online Form - HACC Certification of Residency

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.

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

First Name
Last Name
Street Address
Zip Code
Telephone Number (including area code)
Email Address
Last four digits ONLY of Social Security #
School District
Today's date
Birth Date

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