2019-2020
CHILD SUPPORT PAID
(INDEPENDENT)
(FFFA07)
S
TUDENT
I
NFORMATION
__________________________________________________________ ______________________________
_
Last Name First Name M.I.
Student ID#
Your Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. To
be eligible for federal student aid, you must complete the below information and return this form to the Financial Aid
Office.
The law says we have the right to ask you for this information before awarding federal student aid. After a comparison
of information on your FAFSA with this worksheet and any other required documents, we will notify you if you need
to make corrections using your Student Aid Report (SAR) or your college may send corrections electronically.
CHILD SUPPORT PAID INFORMATION
List child support paid by you or your spouse from January 1, 2017 through December 31, 2017 Do not include
support for children in your household. Our college may request additional supporting documentation of the payment
of child support. If you need more space, attach a separate page.
Note: The college may request additional supporting documentation such as but not limited to:
• A copy of the separation agreement or divorce decree that shows the amount of child support to be provided; or
• A statement from the individual receiving the child support; certifying the amounts of child support received; or
• Copies of child support payment checks or money order receipts.
CERTIFICATION AND SIGNATURE(S)
By signing this form, I (we) certify that all the information reported
to qualify for federal student aid is complete and correct. If married, the
spouse's signature is optional.
Student: Date:
Spouse: Date:
RETURN TO FINANCIAL AID OFFICE:
WARNING: If you purposely give false or
misleading
information on this worksheet,
you may be fined,
sentenced to jail, or both.
Name of the Person Who
Paid Child Support
(Student or Spouse Name)
Name of the Person to Whom
Child Support was Paid
2017 Annual Amount
of Child Support Paid
$
$
$
$
$
$
$
Child for Whom Support was Paid
Name Age
