Instructions: fill out form, choose ‘print’ icon then ‘save as pdf’ and email form from your device to financialaid@rpcc.edu
2020-2021 Student Marital Status Clarification
Student Name: ___________________________________________ Student ID #: ________________________________
Mailing Address: ________________________________________ Telephone Number: ____________________________
Email Address: ________________________________________________________________________________________
We are unable to continue processing your current FAFSA application for financial aid because it contains
conflicting information regarding your marital status. We need to know what your marital status was as of the
date you signed the original Free Application for Federal Student Aid (FAFSA). This date can be found on the
Student Aid Report (SAR) that you received from the U.S. Department of Education.
Please complete the following clarification question:
On the date my original FAFSA was signed, my marital status was:
Never Married
Married Date of Marriage _______________________
Remarried Date of Remarriage _______________________
Divorced Date of Divorce _______________________
Separated * Date of Separation _______________________
Widowed Date of Death _______________________
*Separation is defined as legally separated or informally separated when one of the partners has left the
household for an indefinite period and the marriage is severed.
Certification Statement
By signing this form, I certify that all of the information on this form and any attachments are complete and
accurate to the best of my knowledge. Warning: Purposely giving false or misleading information may result in
a fine, imprisonment, or both.
Student Signature: ________________________________________ Date: ________________________
Office of Financial Aid & Scholarships
Gonzales-Westside-Reserve Campuses
Financialaid@rpcc.edu
