Financial Aid Office
Fax: (708) 709-3716
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.
Last Name First Name MI Social Security Number
Address (include apartment number) Phone number (include area code)
City State Zip
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
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.