INSNAP 1314 INDEPENDENT SNAP VERIFICATION FORM (V2)
Your 2013 -2014 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called Verification. The law says before
awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information
the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other required documents. If
there are differences, your FAFSA information may need to be corrected. You must complete and sign this worksheet, attach any required documents,
and submit the form and other required documents to the financial aid administrator at your school. Your school may ask for additional information. If you
have questions about verification, contact your financial aid administrator as soon as possible so your financial aid will not be delayed.
A. STUDENT INFORMATION
ID # (MUST start with A)
First Name MI Last Name
Phone (Format: XXXXXXXXXX) E-mail
SSN (Format: XXXXXXXXX)
Date of Birth
B. INDEPENDENT STUDENT'S SNAP INFORMATION TO BE VERIFIED
Did someone in the student's household (listed in Section B) receive benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly
known as food stamps) any time during the 2011 or 2012 calendar years?
See drop down menu for options.
C. CERTIFICATIONS AND SIGNATURES
Electronic Signature Agreement. By providing your full student ID # below and by selecting the "I Accept" button, you are signing this
Agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Verification
Form. By selecting "I Accept" you consent that all of the information reported is complete and correct. You further agree that your
use of a key pad, mouse or other device to select an item, button, icon or similar act/action, constitutes your signature (hereafter
referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing.
WARNING: If you purposely give false or misleading information on the worksheet, you may
be fined, be sentenced to jail, or both.
I Accept
ID #
(MUST start with A) Enter Full Name
To electronically submit this form you MUST use the "SUBMIT" button located at the top of this form.
You MUST have Adobe Reader 9 or higher to submit this form electronically.
If you DO NOT see a submit button in the top right of this form you will need to
To verify your form was properly submitted, allow 48 hours then check your "Financial Aid Status" in your Banner Self Service account.
Office Use Only
Submitted Notified
Initials:
SNAP
