Custom V4 Verification 2020-2021
Dr. H.A. Miller Student Services Center | 417 Schepps Blvd. | Clovis, NM 88101
Phone (575)769-4060 | Fax (575)769-4027
Your 2020–2021 FAFSA has been selected for a review process called verification. The law states that before awarding Federal
Student Aid, we will ask you to confirm the information you (and your parents if applicable) reported on your FAFSA. 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 will be corrected. You (and at least one parent if dependent) must complete and sign
this worksheet and submit it, along with other required documents, to the financial aid office. If you have questions about verification,
contact the financial aid office as soon as possible so that your financial aid will not be delayed.
CCC ID Social Security Number Last Name First Name MI
Street Address City State Zip
Phone Number Email Address Date of Birth
Name Address Telephone Relationship
Dependent Students: List below the people in your parent(s) household. Include:
•
Yourself and your parent(s) (including a stepparent) even if you do not live with them.
•
Your parent(s)’ other children if your parent(s) will provide more than half of their support from July 1, 2020,
through June 30, 2021, or if the other children would be required to provide parental information if they were
completing a FAFSA for 2020–2021. Include children who meet either of these standards, even if they do not live with
your parent(s).
•
Others if they now live with your parent(s) and your parent(s) provide more than half of their support and will
continue to provide more than half of their support through June 30, 2021.
Independent Students: List below the people in your household. Include:
Your spouse, if you are married.
Your children, if any, that you will provide more than half of their support from July 1, 2020, through June 30, 2021, or
if the child would be required to provide
your
information if they were completing a FAFSA for 2020–2021. Include
children who meet either of these standards, even if they do not live with you.
Other people living with you which you provide more than half of their support and will continue to provide
more than half of their support through June 30, 2021
Include the name of the college for any household member who will be enrolled at least half time in a postsecondary
educational institution any time between July 1, 2020, and June 30, 2021.
Household Members Age Relationship to Student College
Self Clovis Community College
Student Information
Reference