2014–2015 Verification W
o
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ksh
ee
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Dependent Student- Tracking Group V
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Your 2014–2015 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 inf
ormation 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. Dependent Student’s Information
Student’s SSN or ID Number
Student’s Street Address (include apt. no.)
Student’s Alternate or Cell Phone Number
B. Child Support Paid
Check the box that applies:
No child support was paid for individuals outside of the household in 2013
One (or both) of the student’s parents, included in the household on the FAFSA, paid child support in 2013. 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 2013 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 inclu
des the student’s name and Social Security Number at the top.
Child
Suppo
r
t
Child Support was P
aid
Name of Child for Whom
Suppo
r
t
Was P
aid
Suppo
r
t
C. Certification and Signatures
Each person signing this worksheet certifies that all of the information reported on it is complete and correct. WARNING: If you purposely
give false or misleading Information on this worksheet, you may be fined, be sentenced to jail, or both.
The student and one parent must sign and 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.
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