Fill - 2014-15childsupportworksheet

Financial Aid Office

(708) 709-3735

Fax: (708) 709-3716

2014-15childsupportworksheet.docx

2014-15 Child Support Worksheet (V3)

Your application has been selected for review in a process called “verification.” The law requires specific

information from your Free Application for Federal Student Aid (FAFSA) be compared with the actual information

of you and your family. If there are differences, your FAFSA information may need to be corrected. You must

complete and sign this worksheet and submit it to the Financial Aid Office at the college.

STUDENT INFORMATION

___________________________________________________ ________________________________

Last Name First Name MI Social Security Number

___________________________________________________ ________________________________

Address (include apartment number) Phone number (include area code)

___________________________________________________

City State Zip

CHILD SUPPORT PAID

1. Name of the person(s) to whom support was paid __________________________________

__________________________________

2. Names of the children for whom support was paid: __________________________________

__________________________________

3. Total amount of 2013 support paid: $_________________________________

CERTIFICATIONS AND SIGNATURES

Each person signing this worksheet certifies that all of the information reported is complete and correct.

We also acknowledge that we have read and agree to comply with all verification policies as stated by

the college. Failure to submit information in a timely fashion may result in the application being filed

as inactive with no further consideration and no federal aid for the academic year. Student and one

parent must sign:

_________________________________________ _______________________________________

Student Date Spouse/Parent (if applicable) Date

Note: If we have reason to believe that the information regarding child support is not accurate, we may require documentation

such as:

 A copy of the separation agreement or divorce decree that shows the amount of child support to be provided;

 A statement from the individual receiving the child support certifying the amount of child support received; or

 Copies of the child support payment checks or money order receipts.

Warning: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail or both.

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