VERIFICATION OF CHILD SUPPORT RECEIVED
2020-2021
Student’s Name: _______________________________________ USF ID or SSN: ______________________
To continue processing your application for financial assistance, the following information is required. Please have
your family complete the chart below regarding the amount of child support received by you, your spouse and/or
parents during 2018. List below the full name of each child and the total amount received. Please feel free to
contact Financial Aid Services if you have any questions regarding this information.
Name of Person who Received Child Support:___________________________________________
For the person listed above, indicate the Child Support Received in 2018 for each
dependent child listed below.
Received for (Child’s Name): ____________________________________
Amount per month $________ x # Months ______ = Total $ __________________
Received for (Child’s Name):____________________________________
Amount per month $________ x # Months ______ = Total $ __________________
Received for (Child’s Name):____________________________________
Amount per month $________ x # Months ______ = Total $ __________________
Received for (Child’s Name):____________________________________
Amount per month $________ x # Months ______ = Total $ __________________
Total Child Support Received in 2018 for all household children $________________
For additional children, please report on the reverse side of this form.
I/We certify the above information to be true and correct to the best of our knowledge.
________________________________________ __________________________________________
Student’s Signature Date Parent (1) Signature Date
Please return the completed form to:
Financial Aid Services
500 Wilcox Street Joliet, IL 60435 | finaid@stfrancis.edu
(815) 740-3403 | Toll-free: (866) 890-8331 | Fax: (815) 740-3822
Child Support Received
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