2020-21 Marital Status Verification Student
Your FAFSA application was selected by the U.S. Dept. of Education for review in a process called “verification.” In this
process we are required by federal law (34 CFR, Part 668) to compare the information from your FAFSA application with the
information provided on this form. If there are differences between your application information and your verification
documents, we may need to correct your FAFSA information. We cannot process your financial aid until verification has
been completed. Please provide the required documents as soon as possible.
A. Student Information (please print clearly)
Last Name First Name M.I. Student ID Number or Star ID
Email Address Phone Number (include area code)
City State Zip Code
B. Student Marital Status
Your current marital status is (check one):
Culturally Married and live in one household
Unmarried but living with student’s other parent
Please tell us the effective date for the marital status checked above. If single leave blank: ____ /____ /____.
Month Day Year
WARNING: If you purposely give false or misleading information, you may be fined, sentenced to prison, or both.
I certify that all of the information reported on this worksheet is complete and correct.
Student Signature Date
3300 Century Avenue North
White Bear Lake, MN 55110
A MEMBER OF THE MINNESOTA STATE COLLEGES & UNIVERSITY SYSTEM
AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER & EDUCATOR
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