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The document is a Residency Affidavit required by the City of Hartford for applicants seeking employment. It mandates proof of domicile within Hartford, defined as a permanent home where an individual resides. Applicants must complete the form, provide evidence of residency, and may be subject to verification during background checks. Failure to provide accurate information or sufficient proof can lead to disqualification from the application process.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and the position you are applying for in the designated fields. Ensure that all information is printed clearly.
Provide your current address and the date you have been domiciled there. This is crucial for verifying your residency.
Select one of the options regarding your living situation—whether you own, rent, or have another arrangement—and fill in any required details, such as your landlord's information if applicable.
Check the appropriate box under 'Picture Identification' to indicate which form of ID you are providing and attach a copy as instructed.
Attach copies of at least two items proving your domicile from the provided list, ensuring they are not older than three months.
Review all entries for accuracy before signing and dating the affidavit at the bottom of the form.

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