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Used when required proof of residence documents dated within 6 months cannot be provided, including utility bills, mortgage statements, bank statements, or tenancy agreements. An independent professional from specified occupations completes the form in BLOCK CAPITALS, signs and stamps it, and returns it to Morgan Price. The letter confirms the applicant’s address and residence period, explains why standard documents are unavailable, and records the signatory’s relationship, contact details, and date.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/proof-of-residence-letter-proof-of-residency-self-certification-form/277965/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/proof-of-residence-letter-proof-of-residency-self-certification-form/277965.png","ImageObject",442,249,{"name":88,"@type":89},"Xiajie","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-15",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When is the Proof of Residence self-certification form required?","Question",{"text":109,"@type":110},"It is required when you cannot provide the listed proof of residence documents dated within 6 months as part of a health insurance application.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who can complete and certify the form when standard documents are unavailable?",{"text":114,"@type":110},"An independent professional person from the listed occupations can complete it, certify the proof of residence, sign, and stamp it.",{"name":116,"@type":107,"acceptedAnswer":117},"What information must the professional include in the Proof of Residence Letter?",{"text":118,"@type":110},"The letter must include the full name and passport/ID number, the confirmed address and since date, the length of knowing the person and capacity, why proof documents are unavailable, the relationship (tick one), and the professional’s signature, stamp, date, and contact details.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},277965,1791352148,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},8814010472675,"https://avatar.qwps.com/avatar/WGlhamll","Proof of Residence  \nProof of Residency Self-Certification Form  \nIf you are unable to provide one of the following Proof of Residence documents (dated within 6 months of your application) that are required as part of your Application for Health Insurance:  \n• Utility Bill  \n• Mortgage Statement  \n• Bank statement  \n• Tenancy Agreement  \n• Signed Letter on letter head from Embassy (*see template letter overleaf)  \n• Signed Letter on letter head from a Solicitor/Accountant/Bank Manager etc (*see template letter overleaf)  \nThen please arrange for this form to be completed by an independent professional person from the occupations below who can certify your Proof of Residence. This form is to be fully completed, in BLOCK CAPITALS, signed, stamped and returned to Morgan Price –failure to do so could delay or invalidate your application. We reserve the right to request further information.  \nProof of Residence Letter  \nDear Sir/Madam, Re (Full Name) :  \nPassport/I.D. Number :  \n\n| I hereby confirm that the\u003Cbr>above named person resides at : |\n| --- |\n| This person has resided at the\u003Cbr>above mentioned address since:  DD / MM / YYYY\u003Cbr>The above named person has\u003Cbr>been known to me for   years in a *personal / business capacity. *(Delete one as applicable)\u003Cbr>They are unable to provide\u003Cbr>Proof of Residence documents\u003Cbr>because: |\n\nMy relationship with this person is:  \n(Tick One Only)  \nLawyer/Solicitor Employer  \n General Practitioner / Specialist  Accountant  \n Bank Manager  Landlord  \n Hotel Manager- (if only just arrived in country and to be accompanied by Hotel Invoice)  \n\n| Signed in my\u003Cbr>professional capacity |  | Date |  |\n| --- | --- | --- | --- |\n| Print Name |  | Official Stamp This document must be stamped to be valid or accompanied by Business Letterhead/Compliment Slip\u003Cbr>STAMP |  |\n| Contact Number |  |  |  |\n| Contact E-Mail |  |  |  |\n\n*Template Letter: As an alternative to the proof of residence self-certification form this page can be photocopied onto business letterhead, completed in full in BLOCK CAPITALS, Signed and submitted  \nProof of Residence Letter  \nin regards to an application for Health Insurance  \nDear Sir/Madam, Re (Full Name) :  \nPassport/I.D. Number :  \n\n| I hereby confirm that the\u003Cbr>above named person resides at : |\n| --- |\n| This person has resided at the\u003Cbr>above mentioned address since:  DD / MM / YYYY\u003Cbr>The above named person has\u003Cbr>been known to me for   years in a *personal / business capacity. *(Delete one as applicable)\u003Cbr>They are unable to provide\u003Cbr>Proof of Residence documents\u003Cbr>because: |\n\nMy relationship with this person is:  \n(Tick One Only)  \nLawyer Embassy Official Employer  \n General Practitioner / Specialist  Accountant  \n Bank Manager  Landlord  \n Insurance Broker  \n Hotel Manager- (if only just arrived in country and to be accompanied by Hotel Invoice)  \n\n| Signed in my\u003Cbr>professional capacity |  | Date |  |\n| --- | --- | --- | --- |\n| Print Name |  | Contact Number |  |\n| Position |  | Contact E-Mail |  |","cbCaipi7BjtkTm71","https://ap.wps.com/l/cbCaipi7BjtkTm71","pdf",214519,"English","# Proof of Residence requirements\n## Acceptable proof of residence documents\n## When proof cannot be provided\n## Independent professional certification process\n# Proof of Residence Letter content\n## Applicant details\n## Residence address and since date\n## Length of knowledge and capacity\n## Reason standard documents are unavailable\n## Relationship (tick one)\n## Signature, stamp, date, and contact information","[{\"question\":\"When is the Proof of Residence self-certification form required?\",\"answer\":\"It is required when you cannot provide the listed proof of residence documents dated within 6 months as part of a health insurance application.\"},{\"question\":\"Who can complete and certify the form when standard documents are unavailable?\",\"answer\":\"An independent professional person from the listed occupations can complete it, certify the proof of residence, sign, and stamp it.\"},{\"question\":\"What information must the professional include in the Proof of Residence Letter?\",\"answer\":\"The letter must include the full name and passport/ID number, the confirmed address and since date, the length of knowing the person and capacity, why proof documents are unavailable, the relationship (tick one), and the professional’s signature, stamp, date, and contact details.\"}]","Proof of Residence Letter - Proof of Residency Self-Certification Form | PDF",1789505842]