Document Submission:
Fax: 312.567.3982
Office of Financial Aid
Perlstein Hall, 206
10 W. 33
Chicago, IL 60616
Phone: 312.567.7219
Confirmation of Household Members
I certify that the information provided to the Office of Financial Aid is true and correct.
Student Signature (must print and sign) Date Parent Signature (dependent students only) Date
Your 2020 Free Application for Federal Student Aid (FAFSA) was selected for review through a
process called verification. Verification is the U.S. Department of Education’s method of confirming
data on your FAFSA and requires the Office of Financial Aid to collect various forms of
documentation. After all documentation has been submitted, check your Illinois Tech hawk email
as our office may have follow-up questions about the information submitted.
Student Information
__________________________________________ ___________________________________________
Last Name First Name
__________________________________________ ___________________________________________
Campus-Wide ID (A#) Telephone Number
List the name(s) of anyone in your or your parent(s)’ household who is not claimed on your or your parent(s)’ 2018
tax return.
Full Name Age Relationship College or University
Enrolled at Least
Half Time* (Y/N)
Attach a photocopy of one of the pieces of documentation below showing you (independent students) or your parent(s)
(dependent students) provide financially for the person(s) listed above:
Signed and dated 2019 tax return showing the person(s) above are claimed as a dependent
2019 or 2020 Birth Certificate (for household members born in 2019 or 2020)
State ID or Driver’s License showing the person(s) above live at your address
Any item listed on our Illinois Residency Confirmation
form (Note: if your family lives out of state, the
documentation does not need to include an Illinois address)
If you do not have any of the items above, please describe your situation below and attach supporting documentation:
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