* This form must be submitted by the priority deadline to ensure a determination of eligibility before the Fee Due Date. Students may still apply
for aid after the priority deadlines, but EFSC cannot guarantee that late submissions will be notified of aid eligibility prior to the Fee Due Date.
10/02/19
21MARS
FA Verification
2020-21 Marital Status Verification
Independent Student
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) indicated a marital status that appears to conflict with
other documentation received by the Office of Financial Aid. The Office of Financial Aid will update your FAFSA, if
applicable, based on the information provided on this form. Additional documentation or clarification will be requested
if needed.
Priority Deadlines*: Fall 202007/23/20 | Spring 2021 – 11/30/20 | Summer 2021 – 04/22/21
A. Student Information
B#
Last Name First Name M.I. Student ID
B. Marital Status
1. Please indicate your marital status on the date you filed your initial 2020-21 FAFSA.
Married or Remarried as of: _______/_______/_______ Provide month/day/year of current marriage.
Never Married
Divorced/ Separated as of: _______/_______/_______
Provide month/day/year of divorce/separation.
Widowed as of: _______/_______/_______ Provide month/day/year of spouse’s death.
Other – please explain: _____________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
2. Has your marital status changed since the day you filed your initial 2020-21 FASFA?
No, my marital status has not changed since I filed the FAFSA.
Yes, my current marital status is: __________________________ as of: _______/_______/_______
EFSC Office of Financial Aid
www.easternflorida.edu/go/aid | (321) 433-7339 | finaid@easternflorida.edu
2
C. Certification and Signatures
By signing below I certify that all of the information reported is
complete and correct.
Student’s Original Signature (cannot be signed electronically) Date
D. Document Submission
You may submit this document by the following methods:
1. EFSC DOCUMENT DROPBOX (RECOMMENDED)
Print and complete this document (including the original signatures), scan the document, and upload the
document via the Document Dropbox in myEFSC. Printers and scanners are available in EFSC’s open
computer labs and libraries.
2. IN PERSON
Submit your document in person at the Office of Financial Aid on any campus:
Cocoa
Building 11, Room 209
Monday through Thursday, 8 a.m. to 7 p.m.
Palm Bay
Building 1, Room 117
Monday through Thursday, 8 a.m. to 7 p.m.
Melbourne
Building 1, Room 137
Monday through Thursday, 8 a.m. to 7 p.m.
Titusville
Building 3, Room 125
Monday through Wednesday, 8 a.m. to 5:30 p.m.
Thursday, 8 a.m. to 7 p.m.
3. BY MAIL
Mail your document to the Office of Financial Aid on any campus:
Cocoa
Eastern Florida State College
Office of Financial Aid, C11-209
1519 Clearlake Road
Cocoa, FL 32922
Palm Bay
Eastern Florida State College
Office of Financial Aid, PB1-117
250 Community College Parkway
Palm Bay, FL 32909
Melbourne
Eastern Florida State College
Office of Financial Aid, M1-137
3865 N. Wickham Road
Melbourne, FL 32935
Titusville
Eastern Florida State College
Office of Financial Aid, T3-125
1311 N. US 1
Titusville, FL 32976
QUESTIONS?
Financial Aid Specialists are available at the campus locations listed above, by phone at 321-433-7339, and via e-mail
at finaid@easternflorida.edu.
Eastern Florida State College is committed to equal access/equal opportunity in its programs, activities, and employment. For
additional information, visit Eastern Florida State College: easternflorida.edu/go/equity.
WARNING: If you purposely give false or
misleading information, you may be
fined, sent to prison, or both.