BAS Verification 2020-2021
Dr. H.A. Miller Student Services Center | 417 Schepps Blvd. | Clovis, NM 88101
Phone (575)769-4060 | Fax (575)769-4027
Name: __________________________________ CCC ID________________________
Y
ES
Were you active duty military in 2018?
Enlisted member
How many months? _____
NO Officer
Was
y
our s
p
ou
s
e acti
v
e dut
y
milita
r
y
in How man
y
month
s
? _____
YES Enlisted member
NO Officer
Y
ES
Was your father active duty military in 2018?
Enlisted member
How many months?
NO Officer
Was your mother active duty military in 2018? How many months?
YES Enlisted member
NO
O
f
f
i
er
Category Monthly Allowance
Enlisted Members $369.39
Officers $254.39
Note: If the above information was not provided on your 2020-2021 FAFSA, a
correction will be sent to the Federal Processing Center to include it.
Student Signature____________________________________ Date:__________________________
Parent Signature______________________________________Date___________________________
Correction Sent: Correction Received: Transaction:
Independent Students
Dependent Students
2018 BAS Rates
SIGNATURE RE
Q
UIRED
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signature
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signature
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