2019-2020 Verification of Household 19HVER
The federal processor has selected your FAFSA or CADAA application for verification, which requires schools to collect documentation to confirm the
accuracy of the information provided on the application. This form is used to verify the number of members listed in either your household if you
are an independent student OR in your parents’ household if you are a dependent student.
Family Information (If more space is required, attach an additional page and include student’s name & ID on all documents submitted)
DEPENDENT
Parent REQUIRED to sign FAFSA or CADAA
INDEPENDENT
Parent NOT REQUIRED to sign FAFSA or CADAA
Family member instructions:
1. Include yourself.
2. Include your parent(s):
• If your parents are divorced, list the parent you reported on your FAFSA or CADAA.
• If your parent is remarried, include the step-parent you reported on your FAFSA or
CADAA.
• If your parents are unmarried but live together, list Parent #1 and Parent #2 as you
reported on your FAFSA or CADAA.
3. Include your parent(s)’ other children, if your parents provide more than half of their
support between July 1, 2019 and June 30, 2020 as reported on your FAFSA or CADAA.
4. Include other dependents, if they now live with your parent(s) and your parent(s) will
continue to provide more than half of their support through June 30, 2020 as reported on
Family member instructions:
1. Include yourself
2. Include your spouse if you are married
3. Include your children ONLY IF you will provide at least 51% of their
support from July 1, 2019 to June 30, 2020.
• Do not include child(ren) on this form, if you are including child
support paid on their behalf
4. Include other people currently living with you for whom you
currently provide and will continue to provide at least 51% of
their support from July 1, 2019 to June 30, 2020.
Age instructions:
The age of each family member is required below.
Relationship instructions:
Relationship of each family member to the student is required below.
College instructions:
Add the name of the college for any household member (excluding parents) who will be enrolled at least half-time in a degree, diploma, or certificate program at an
eligible postsecondary educational institution any time between July 1, 2019 and June 30, 2020
FULL NAME AGE
to STUDENT
COLLEGE NAME
LEAST HALF-TIME
1.
Self MSJC
2.
3.
4.
5.
6. If more than 6 household members, please attach additional page
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
________________________________________ ____________________________________________ __________________________
Parent’s Name (Please Print) Parent’s Signature (Required if student is DEPENDENT) Date
2019-2020 VERIFICATION
OF HOUSEHOLD SIZE AND NUMBER IN COLLEGE
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
click to sign
signature
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