Fillable CSS Profile Waiver Request for the Noncustodial Parent (Yale University)

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CSS Profile Waiver Request for the Noncustodial Parent (Yale University)

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CSS Profile Waiver Request for the Noncustodial Parent
Your noncustodial parent is required to complete a CSS Profile™ application. If you have no contact with
your noncustodial parent, you may request to waive this requirement from each college that is requesting
the CSS Profile Application from your noncustodial parent. See below process for next steps.
Submission of this request does not guarantee that a waiver will be approved.
Each college will make its own decision and communicate that decision to you. Each college reserves the
right to request additional information regarding your waiver request.
You are encouraged to check the website(s) of your college(s) to ensure that you are meeting your
financial aid application requirements.
Be aware that not every college will accept this waiver request. Colleges may require their own form as
well as additional documentation; if so, you must follow the college's instructions for submitting a CSS
Profile waiver request for the noncustodial parent.
Types of waiver requests that may be considered:
Documented abuse situations involving you and your noncustodial parent.
Legal orders that limit the noncustodial parent's contact with you.
No contact or support ever received from the noncustodial parent.
Examples of documentation that may be required:
Court documents or legal orders, as available
Third-party documentation – preferably a written statement or letter from a counselor, a social worker, a teacher, or
clergy who has first-hand knowledge about and can certify your situation.
Statements from family members or attorneys may or may not be accepted.
Types of waiver requests that will not be considered:
Noncustodial parent refuses to complete the CSS Profile.
Divorce decree states that the noncustodial parent is not responsible for the student's educational expenses.
Instructions for submitting the CSS Profile Waiver Request for the Noncustodial Parent:
Print the form and complete it.
Sign the completed form.
Make a copy of your signed and completed waiver form for each college that will accept it.
Submit the signed copy, with all required documentation, to each college you are applying to that accepts it.
Keep a copy for your records.
Please do not submit this page
B035 CBFinaidID
(opt.) ________________
Student’s Name______________________________________
CSS Profile Waiver Request for the Noncustodial Parent
Certification and Signature
I certify that the information below is true and complete to the best of my knowledge.
Student’s information
Name _________________________________________________
Street Address Email Address
City, State and Zip Preferred Telephone Number
Status of the student’s biological/adoptive parents
Please report your biological/adoptive parents’ current marital status by checking the appropriate box below and reporting
the year that status began. If your parents are divorced, please list both the year of separation and the year of divorce.
Separated; year of separation
Divorced; year of separation
year of divorce
Never married to each other and currently do not share the same household; year of separation
Noncustodial Parent’s information
Please provide information about your noncustodial parent. Provide all of the information you know. If you do not know
one of the requested pieces of information, report it as “unknown.”
Noncustodial Parent Name __________________________________________________
Street Address Email Address
City Telephone Number
State and Zip Occupation/Employer
Student’s Signature Date __________________
Custodial Parent’s Signature Date __________________
Page 2/4
B035 CBFinaidID (opt.) ________________
Student’s Name______________________________________
Answers to the following questions will help us understand the nature of your relationship
with your noncustodial parent. Provide information to the best of your knowledge.
Has your noncustodial parent ever claimed you as a dependent on a federal tax return?
Yes No Unknown
If yes, indicate t
he most recent tax year that occurred.
Has your nonc
ustodial parent ever pai
d child support for you?
Yes No Unknown
If yes, please answ
er the following:
Indicate the most recen
t tax year in which it was paid.
How much was paid for you that year?
Was the child support paid court ordered?
Yes No Unknown
If the c
hild suppo
rt was court ordered, did it require that your
noncustodial parent’s
wages be garnished?
Yes No
Unknown
Have you ever had contact with your noncustodial parent?
Yes No
If yes
, please ans
wer the following:
Indicate the last time you had c
ontact with your noncustodial parent.
Report how often you had contact with your noncustodial parent in the past year.
Weekly
Monthly
Other
No contact in past
year
Explain the type of contact - letter/email, visit, phone call/text, school event, family gathering,
court appearance, Facebook/online, other (please explain.)
Has yo
ur noncustodial pa
rent remarried?
Yes No Unknown
If yes, indicate the year this occurred.
Does
your noncustodial
parent have children other than those reported in the
custodial household?
Yes No
Unknow
n
List their ages. ___________________
If yes, how many additional children does your noncustodial parent have?
Who owns the propert
y wh
ere you live?
Custodial parent/stepparent Noncustodial parent Owned jointly/both parents
Landlord (non-family member ) Other (explain in “statement from applicant”)
Page 3/4
$
#
B035 CBFinaidID (opt.) __
______________
Student’s Name______________________________________
Are there any legal orders that limit your noncustodial parent’s contact with you?
If yes, please attach the restraining order, polic
e report, or divorce decree which
documents the limited contact with your noncustodial parent. Report the documentation
you are sending in the “supporting documentation” section below.
Yes No Unknown
Statement from the applicant
In the space below, you must provide a personal statement regarding your relationship with your noncustodial parent.
Provide as much detail as possible. Include any additional information that would help us to better understand why you
believe the college should waive any financial information or contribution from your noncustodial parent. If additional
space is needed, you may attach your statement as a separate document to this form.
Supporting documentation
Indicate which supporting documentation you have included:
Third party do
cumentation - a written statement or letter from a counselor, a social worker, a teacher, or
clergy who can clarify your situation. Statements from family members or attorneys may or may not be
accepted.
Copy of
police report or restraining order
Other documents (list): ______________________________
______________________________
______________________________
Pa
ge 4/4
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CSS Profile Waiver Request for the Noncustodial Parent (Yale University)

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Completed 8 February 2021

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