2014–2015 Verification W
o
r
ksh
ee
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Independent 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 spouse (if married) 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 that your financial aid will not be delayed.
A. Independent Student’s Information
Student’s Last Name
Student’s First Name
MI
Student’s SSN or ID Number
Student’s Date of Birth
City
State
Zip
Student’s Email Address
Student’s Phone Number
Student’s Alternate or Cell Phone Number
B. Child Support Paid
Check the appropriate box below:
No child support was paid for individuals outside of the household in 2013.
The student or student’s spouse, included in the household on the FAFSA, paid child support in 2013. Indicate 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 includes the
student’s name and Social Security Number
at the top.
Name of Person Who P
aid
Child
Suppo
r
t
Name of Person to W
ho
m
Child Support was P
aid
Name of Child for Whom
Suppo
r
t
Was P
aid
Amount of Child
Suppo
r
t
Joe Jones
Jane Doe
Jake Jones
$6,000
C. Certification and Signature
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 must sign and date this form.
Student’s Signature
Date
Spouses Signature (optional)
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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