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2013–2014 Verification Worksheet
Dependent Student- Tracking Group V2
Your 2013–2014 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that
before awarding Federal Student Aid, we may ask you to confirm the information you and your parents 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 and at least one
parent 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 that your financial aid will not be delayed.
A. De
pendent Student’s Information
Student’s Last Name Student’s First Name Student’s M.I.
Student’s SSN or ID Number
Student’s Street Address (include apt. no.)
Student’s Date of Birth
City State Zip Code
Student’s Email Address
Student’s Home Phone Number (include area code)
Student’s Alternate or Cell Phone Number
B. Parent’s Other Information to Be Verified
Complete this section if someone in the student’s parent’s household received benefits from the Supplemental Nutrition Assistance Program
or SNAP (formerly known as food stamps) any time during the 2011 or 2012 calendar years.
One of the persons in the student's parent's household received SNAP benefits in 2011 or 2012. If asked by the student’s school, I will
provide documentation of the receipt of SNAP benefits during 2011 and/or 2012.
C. Cert
ification and Signatures
Each person signing this worksheet certifies that all of the information reported on it is complete and correct. The student and one parent
must sign and date.
Student’s Signature Date
Parent’s Signature Date
Do not mail this worksheet to the U.S. Department of Education.
Submit this worksheet to the financial aid administrator at your school.
You should make a copy of this worksheet for your records.
WARNING: If you purposely give false or misleading Information on this
worksheet, you may be fined, be sentenced to jail, or both.
