Please complete and submit this cover sheet when you submit your residency petition and supporting documents. The
petitioning period begins Tuesday, January 21, 2020 and the deadline to submit your completed packet is Wednesday,
April 1, 2020. You must submit COPIES of ALL of the documents listed below for your Residency Petition to be
complete. We cannot make copies or return any documents to you. Incomplete petitions cannot be evaluated, which
will cause a delay in determining your residency status. After the initial review additional documents may be required.
Please monitor your Mizzou email account for updates.
Student’s Name: _____________________________________ Student ID: __________________________
Completed Residency Petition form in ink, signed and dated with the date you submit your residency petition. Petition
forms completed in pencil will not be processed.
Completed Residency Processing Fee Authorization form, signed and dated with the date you submit the form.
Documentation of where you lived from May 18, 2019 – August 19, 2019.
Do Not Exceed 14 Days out of Missouri during this time period.
Examples include a lease(s) or sublease(s) with your name on it, or a warranty deed to you and/or your
spouse’s home. If you lived with a family member or a friend, submit a notarized letter from them with a
document to verify the address (a copy of their warranty deed or the friend’s original lease with the
address and the dates covering the time you stayed there.)
Official payroll records/paystubs showing at least $2000.00 of Missouri taxable income. Income must be earned in
Missouri between January 22, 2019 and February 15, 2020. Applicants may NOT work online, for or with a relative,
or for or with a family business. Work Schedules must be submitted for the summer months.
All payroll records/paystubs and work schedules from May 18, 2019 through August 19, 2019.
Additional payroll records/paystubs to support minimum $2000 total gross Missouri earnings
Total gross (before taxes) amount shown on all payroll records/paystubs you are submitting: $____________
Bank records from May, 2019 through August, 2019 showing regular transactions in MO, including the name of
the bank, the student’s name, the transaction dates (not the post dates), the location of the transactions and
the last four digits of the account number. The student must be the ONLY person using this account.
Copy of your permanent Missouri driver's license. The temporary copy will not be accepted.
Copy of your Missouri voter's registration verification.
Copy of pages 1 &2 of the 2019 Federal 1040 income tax form showing your Dependency Status.
If you were under 21 during any part of the qualifying 12 months, a copy of pages 1 & 2 of your parent’s 2019
Federal 1040 income tax form showing you were NOT claimed as a dependent, OR a notarized statement from
the tax preparer stating the student will not be claimed as a dependent. A copy of the actual 1040 must be sent
to our office once it has been filed. If your parents are divorced, please submit a copy of pages 1 & 2 of the
2019 tax return for each parent.
If you were 21 or older for the entire qualifying 12 months, a copy of pages 1 & 2 of your 2019 Federal and
Missouri 1040 income tax form
Copy of your Missouri vehicle registration if you are listed as the only owner of the car.
Submit your completed petition and supporting documents to:
Residency Department - Office of the University Registrar - 125 Jesse Hall
Email: residency@missouri.edu Phone: 573-882-7881 FAX: 573-884-8382