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2013–2014 Verification Worksheet
Dependent Student- Tracking Group V3
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. Depe
ndent 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.)
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 one of the student’s parents paid child support in 2012.
One (or both) of the student’s parents paid child support in 2012. The parent has indicated below the name of the person who paid
the child support, the name of the person to whom the child support was paid, the names of the children for whom child support
was paid, and the total annual amount of child support that was paid in 2012 for each child. If asked by the school, I will provide
documentation of the payment of child support. If you need more space, attach a separate page that includes the student’s name and
Social Security Number at the top.
Name of Person Who Paid
Child Support
Name of Person to Whom
Child Support was Paid
Name of Child for Whom Support
Was Paid
Amount of Child Support
Paid in 2012
Joe Jones Jane Doe Jake Jones $6,000
C. Certif
ication 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.
