Step 3 Provide two acceptable documents.
One document must come from column A and one document must come from column B for parent listed above.
Step 1 Student Information
Student’s Last Name Student’s First Name Student’s HCC ID
Step 2 Parent Information
*Provide the name, address, and acceptable supporting documents for a parent whose information was on the FAFSA.
Parent’s Last Name Parent’s First Name
Parent’s Street Address Parent’s City State & Zip Code
Step 4 Certication and Signature
Each person signing below certies that all of the information reported is complete and
correct. The student and one parent whose information was reported on the FAFSA
must sign and date.
Student Signature Date
Parent Signature Date
WARNING: If you purposely give false or misleading information, you may be ned, sent to prison, or both.
Financial Aid Services
10901 Little Patuxent Pkwy
Columbia MD 21044
443-518-1260;
443-518-4576 (FAX)
naid@howardcc.edu
www.howardcc.edu
CRI: FAC18MDR
ImageNow
Doc type: UG Finaid Miscellaneous
FA Doc Name: MD State Award
Work Flow
Main: FAS Document Processing
Sub-queue: Academic Year
Column A Submit one document from list below. Column B Submit one document from list below.
▪ Valid driver’s license, MVA issued change of
address card, or valid state issued ID
▪ Voter’s registration card
▪ Rental agreement/deed/lease
▪ Vehicle registration card
▪ Utility bill (dated at least 90 days prior to the start of the
term): gas, electric, phone (not wireless), cable, water
▪ Howard county tax bill (dated at least 90 days prior to the
start of the term)
▪ State income tax return from the most current year
▪ State withholding form from the most current year
▪ Pay stub with current address (dated at least 90 days
prior to the start of the term)
2018/2019
MHEC Parent Residency Form
Please provide the information below to conrm your residency status for Maryland State awards.
