2020-2021 Independent Verification Worksheet Page | 1
20202021 INDEPENDENT VERIFICATION WORKSHEET
Your 20202021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before
awarding Federal Student Aid, we may ask you to confirm the information you and your parents reported on your FAFSA. To verify that you provided
correct information the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other
required documents. If there are differences, your FAFSA information may need to be corrected. You and at least one parent must complete and sign this
worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school. Your
school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible so that
your financial aid will not be delayed.
A. Independent Student’s Information
Student’s ID Number
Student’s Date of Birth
City
State
Zip Code
Student’s Email Address
Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number
B. High School Completion Status
Provide one of the following documents that indicate your high school completion status when the student begins college in
20202021:
A copy of the student’s high school diploma showing when graduated.
For students who completed secondary education in a foreign country, a copy of the “secondary school leaving certificate” or
other similar document.
A copy of the student’s final official high school transcript that shows the date when the diploma was awarded.
A state certificate or transcript received by a student after the student passed a State-authorized examination that the State
recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized examination).
An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
For a student who was homeschooled in a state where state law requires the student to obtain a secondary school completion
credential for homeschooling (other than a high school diploma or its recognized equivalent), a copy of that credential.
For a student who was homeschooled in a state where state law does not require the student to obtain a secondary school
completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a transcript, or the
equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and includes
a statement that the student successfully completed a secondary school education in a homeschool setting.
Check the box that applies:
The student has submitted a final official transcript or equivalent to the Admissions Office. The financial aid administrator
will use this information for the verification process.
The student has not yet submitted a final official transcript or equivalent. The student’s admissions file or the verification
process cannot be completed until a final official transcript or equivalent has been received.
A student who is unable to obtain the documentation listed above must contact the financial aid office. If we have already
received one of the documents above as part of the admission process, you do not need to turn in another copy.
Student’s Last Name
Student’s First Name
Student’s
M.I.
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C. Identity and Statement of Educational Purpose
To be signed at the institution:
The student must appear in person at to verify his or her identity
(Name of Postsecondary Educational Institution)
by presenting an unexpired valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other
state-issued ID, or passport. The institution will maintain a copy of the student’s photo ID that is annotated by the institution with the
date it was received and reviewed, and the name of the official at the institution authorized to receive and review the student’s ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below.
To be signed in the presence of a Notary:
If the student is unable to appear in person at the Institution to verify his or her identity, the student must provide to the Institution:
A A copy of the unexpired valid government-issued photo identification (ID) that is acknowledged in the notary statement below,
or that is presented to a notary, such as, but not limited to, a driver’s license, other state-issued ID, or passport; and
B The original Statement of Educational Purpose provided below, which must be notarized. If the notary statement appears on a
separate page than the Statement of Educational Purpose, there must be a clear indication that the Statement of Educational
Purpose was the document notarized.
Statement of Educational Purpose
I certify that I am the individual signing this Statement of Educational Purpose
(Print Student’s Name)
and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of
attending
(Name of Postsecondary Educational Institution)
for 2020-2021.
Student’s Signature Date
Authorized Institutional Official’s Signature Date
Notary’s Certificate of Acknowledgement
State of City/County of
On before me,
, personally appeared,
(Date) (Notary’s Printed Name)
, and provided to me on basis of satisfactory evidence of identification
(Printed Name of Signer)
to be the above-named person who signed the foregoing instrument.
(Type of government-issued photo ID provided)
Student’s ID Number
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signature
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signature
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WITNESS my hand and official seal:
(Notary signature) (Seal) (Date)
D. Certification and Signatures
Each person signing below certifies that all of the
information reported is complete and correct. The
student must sign this worksheet. If married, the
spouse’s signature is optional
WARNING: If you purposely give false or
misleading information you may be fined, be
sentenced to jail or both.
Date
Date
Do not mail this worksheet to the U.S. Department of Education.
Submit this worksheet to the financial aid administrator at your school.
You should make a copy of this worksheet for your records.
My commission expires on
Student’s signature
Spouse’s Signature (if applicable)
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signature
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signature
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