Mail this form and the financial documentation indicated to the Application Services Center at the address listed above. Your
information will be transmitted to each of the SUNY campuses shown in the Participating Campuses section to which you have
applied as an EOP candidate.
Name: _____________________________________________________
Address: _____________________________________________________
_____________________________________________________
Date of Birth: _____________________________________________________
Morrisville State College 315.684.6046
SUNY New Paltz 845.257.3220
Niagara County Community College 716.614.6222
Old Westbury 516.876.3068
SUNY Oneonta 800.SUNY.123
Orange County Community College 845.341.4407
SUNY Oswego 315.312.2250
SUNY Potsdam 315.267.2180
Attach the documentation checked below for the tax year ____________ . If you have unusual circumstances, please attach any
relevant notarized letters, statements, death certificates, etc., that support your claims. Additional paperwork may also be required.
Please do not return this form until the required documents are available.
Applicant ID Number:
High School CEEB Code:
Entry Term:
Date:
_____________________
_____________________
_____________________
_____________________
2017 EOP FINANCIAL DOCUMENTATION
COVER SHEET
THE STATE UNIVERSITY OF NEW YORK
Application Services Center (ASC)
P.O. Box 22007
Albany, New York 12201-2007
Required Financial Documentation
Participating Campuses
Personal Information
Documentation of no income. IRS Form 4506-T Request for
Transcript of Tax Return, Verification of Non-Filing
Documentation of income from wages, tips, dividends,
interest, rental, business profits. IRS Forms 1040, 1040A,
1040EZ, signed copies of 1040TEL or official transcript of
tax returns; and Forms W-2, 1099 or W-9
Documentation of income from disability benefits, a pension,
annuity or unemployment benefits. Letter from the appropriate
institution stating total award (if not already reported on a tax
return); Disabilities Statement
Documentation of child support or alimony. Signed affidavit,
court order or legal document indicating amount of child
support and/or alimony
Documentation of public assistance. A signed letter from the
agency stating total award and names of recipients
Adirondack Community College 518.743.2264
Alfred State 800.425.3733 x2
Buffalo State College 716.878.4017
SUNY Canton 315.386.7123
SUNY Cobleskill 800.295.8988
SUNY Cortland 607.753.4711
SUNY Fredonia 800.252.1212
Finger Lakes Community College 585.785.1390
Fulton-Montgomery Community College 518.736.3622
These SUNY campuses accept the SUNY EOP Financial Information Form.
Documentation of Social Security, Supplemental Security
Income or Veteran’s Administration non-educational benefits.
SSA Form 1099 or letter from the agency stating total award
for each member of the household, including names of
individuals
Documentation of support for wards of the court, foster
children or orphans. Letter or court document from the
government, courts or private agency responsible for your
support
DoD Form DD214 Certificate of Release or Discharge
from Active Duty
USCIS Form I-551 Alien Registration Card
IRS Form 1040 Schedule C Profit or Loss From Business
Campus Contact Number Campus Contact Number
Questions? Contact the EOP Office at a campus to which you applied (see above).
2016
