2019-2020 Dependency Status Verification DEPSTAT
We have completed the initial review of your 2019-2020 Free Application for Federal Student Aid (FAFSA) or CA Dream Act Application (CADAA)
and have determined that we need additional information regarding your Independent status. Please complete this form by checking the
appropriate box and attach the appropriate documentation.
Independent Status Eligibility Criteria
Supporting Documentation Required
At some point since you turned 13, both of your parents (biological or
adoptive) were deceased.
Copy of parents’ death certificates
At some point since you turned 13, you were in foster care, even if you are no
longer in foster care today.
Copy of official documentation from the court confirming
your status in foster care
At some point since you were 13, you were a dependent/ward of the court,
which means the court determined that your parent(s) were unable to care
for you and that the State or the court took legal custody of you, even if you
are now adopted.
Copy of official documentation from the court confirming
your status as a dependent/ward of the court
At the time you completed the FAFSA or CADAA, you were an emancipated
minor or you were an emancipated minor immediately before you reached
age of being an adult in your state.
Copy of the emancipation documentation from the court
confirming your status and the effective date(s) of the
status
At the time you completed the FAFSA or CADAA , you were in a court ordered
legal guardianship or you were in a court ordered legal guardianship
immediately before you reached age of being an adult in your state
Copy of the court documentation confirming your status
in a legal guardianship and the effective date(s) of the
status
At any time on or after July 1, 2018, you received a determination from:
• Your high school or school district homeless liaison that you were an
unaccompanied youth who was homeless, or
• The director of an emergency shelter or transitional housing program funded
by the U.S. Department of Housing and Urban Development (HUD), or
• The director of a runaway or homeless youth basic center or transitional
living program
That you were an unaccompanied youth who was homeless or were self-
supporting and at risk of being homeless
Copy of the determination documentation confirming this
status from:
• The high school or school district homeless liaison, or
• The director of an emergency shelter or transitional
housing program funded by the U.S. Department of
Housing and Urban Development (HUD), or
• the director of a runaway or homeless youth basic center
or transitional living program
You are a Veteran of the U.S. Armed Forces, or
You are currently serving on active duty in the U.S Armed Forces for purposes
other than training
Copy of your DD214 Form or
Copy of a letter from a superior officer that documents
the call-up to active duty
Check here if there was an error on the FAFSA or CA DREAM Act Application
and you do not meet any of the Independent criteria above. You are
considered a dependent student.
You must make corrections to your FAFSA or CA DREAM
Act Application and provide your parent(s) information
and signature
Please contact the Financial Aid Office if you are unable to provide the requested documentation and are still unable to provide parent(s) financial
information.
CERTIFICATION
I/WE HEREBY CERTIFY THAT ALL INFORMATION REPORTED ON THIS FORM AND ANY ATTACHMENTS HERETO ARE TRUE, COMPLETE AND
ACCURATE. FALSE INFORMATION OR MISREPRESENTATION WILL BE CAUSE FOR DENIAL, REDUCTION, WITHDRAWAL, AND/OR REPAYMENT OF
FINANCIAL AID.
__________________________________________________________________ _____________________________
Student’s Signature Date
2019-2020 DEPENDENCY STATUS VERIFICATION
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
SJC Financial Aid Office * 1499 N State Street * San Jacinto, CA 92583 * Telephone: (951) 487-3245
MVC Financial Aid Office * 28237 La Piedra Road * Menifee, CA 92584 * Telephone: (951) 639-5245
Email: finaid@msjc.edu * Website: www.msjc.edu
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