Fillable Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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FINANCIAL AID OFFICE
1000 East Victoria Street, WHB250
C
arson, California 90747
P
HONE: (310) 2 43-3691
CSUDH ID: _____________________________ _______________
Today’s Date:
Financial Aid Document Submission Cover Sheet
Please complete the information requested below, submit this form along with your
documents. REMINDER: When uploading your documents to the DropBox, please
exercise caution when using Free WiFi or Public Computers as these are not secure.
Student Name: ________________________________________________________
Enter Last Name, First Name, MI
Toro Email Address: ____________________________________
Phone Number: ______ ________________________________
(Area Code) (i.e. 222-1234)
Be sure to include your CSUDH student ID number on the front and back of each
page submitted and allow 24-48 hours for your To Do List to be updated.
Submission Instructions
In the following page(s), complete all requested information using the fillable
document below. Your document must be complete to be accepted by the Financial
Aid Office. Forms that are incomplete will remain on your To-Do list in the Student
Center.
1. Upon completing this document, scroll to the bottom where you are asked to sign and
date. In the signature area, type your name and in the date space type today’s date.
2. Save your document. Name your document with your Initials and CSUDH ID #
3. If you have attachments, please have them ready to upload to the DropBox
4. Return to the Financial Aid Forms section to the “Submit My Documents link”
5. Once all documents have been submitted, be sure to close your browser.
-------------------
In furtherance of CSU Dominguez Hill’s mission of accessibility and commitment to excellence through diversity, equity, and
inclusion, CSUDH strives to ensure that its information and communication technology is accessible to everyone. If you need
assistance in completing this form because of a disability, please contact us at (310) 243-3660
---------------------
FINANCIAL AID OFFICE
1000 East Victoria Street, WHB250 Carson, California 90747
(310) 243-3691
finaid@csudh.edu
Student’s Name:
CSUDH ID#:
2021-2022 Non-Filing Letter-Exception
Please complete and submit this form electronically to the Financial Aid Office using the Financial Aid
Dropbox located at csudh.edu/financial-aid/forms/.
I was not required by federal law to file a 2019 income tax return with the IRS. I attempted to obtain an
IRS Verification of Non-Filing Letter (VNF) and was unable to obtain the required documentation because
of the following:
Check all that apply:
I have a Social Security Number (SSN), Employer Identification Number (EIN), or Individual
Tax Payer Identification Number (ITIN) and the IRS could not provide the Verification of
Non- Filing Letter;
OR
I do not have a Social Security Number (SSN);
I do not have an Individual Tax Payer Identification Number (ITIN); and
I do not have an Employer Identification Number (EIN).
CERTIFICATION AND SIGNATURE
The person signing below certifies their information
was reported on the FAFSA or California Dream Act
Application for the above named student, and that all
of the information reported is completed and correct.
WARNING: Per the U.S. Department of
Education and the State of California, if you
purposely give false or misleading information
you may be fined, be sentenced to jail, or both.
Printed Name of Non-Filer Relationship to Student
Non-Filer’s Signature (Required)
Date
Updated 1/2021
F22EXC
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Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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Completed 30 April 2021

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