2014-2015 Legal Dependent Cover Sheet
LGLDEP
This form has been requested bec
ause you reported on the FAFSA that you provide at least 51% support for a child or
legal dependent.
Please answer the following questions for the year 2013:
Student ID
Name
Dependent’s Name: ______________________________ Relationship to You: ______________________________
Submit a signed statement from yourself documenting your support for your dependent. Your statement needs to
summarize your support and include information documenting:
Where do you (or will you) live while you are in school?
Where does the child (or will the child) or legal dependent live while you are in school?
Who pays (or will pay) for your housing?
Who claims the child or legal dependent on federal taxes?
Who pays (or will pay) for childcare? (if applicable)
Who pays (or will pay) for food?
Who pays (or will pay) for medical needs?
Information on any support* received from other persons (another parent, family member, friend, state agency)
*SUPPORT includes but is not limited to: food, food stamps, housing, clothing, medical and dental care/
insurance, child support, child care, education, transportation, recreation, etc.
Office of Financial Aid
.
Phone: 734.487.0455
.
Fax: 734.487.4281
.
Email: financial_aid@emich.edu
.
Web: www.emich.edu/finaid
Dependent’s Name: ______________________________ Relationship to You: ______________________________
Dependent’s Name: ______________________________ Relationship to You: ______________________________
