YubaCommunityCollegeDistrict
 F
inancialAidOffices

20192020IndependentVerificationInstructionsV4
Your financial aid application was selected for a process called “verification” by the Department of Education. The Financial Aid
Office is required by the federal government to verify the information you provided on your financial aid application (FAFSA) is
correct.Yourfinancialaidapplicationcannotbeprocesseduntilallrequestedinformation
isreceived. Anyrequiredcorrections
maydelaytheprocessingofyourfinancialaidawards.Theinstructionsapplytothestudentandspouse,ifmarried.
WHATYOUNEEDTODO:
1.Complete(inink)allsectionsoftheIndependentCustomVerificationGroupWorksheet,signanddateit.
2.SubmitallrequiredformsanddocumentstotheFinancialAidOfficeatthecampusyouareattendingassoonaspossible.
Theverificationprocesscantakeup
toseveralweekstocomplete.CheckyourYCCDstudentemail(@go.yccd.edu)frequently
becausewewillcontactyouthroughyourstudentemailifthereareproblemsorweneedadditionalinformationafterwe
reviewyourfile.
3.Refertothechartbelowtodeterminewhichitemsarerequired
tobeverifiedandwhatdocumentationyoumustsubmittothe
FinancialAidOffice.
ITEMSREQUIREDTOBEVERIFIED SUBMITTHEFOLLOWINGDOCUMENTATION
HighSchoolCompletionStatus
ProvideproofofhighschoolcompletionstatusOR
DDForm214thatindicatesHighschoolcompletionorEquivalent
Identity/StatementofEducationalPurpose
CompletetheIdentityandStatementofEducationalPurpose
ProvideagovernmentissuedphotoIDcard
4.TheFinancialAidOfficenolongermailsawardletters.Onceyourverificationiscompletedyourfinancialaidaward(s)will
beavailableonWebAdvisorthroughthePortalathttp://mycampus.yccd.edu/.Allawardsarecontingentuponavailable
fundingandyourmeetingallstudenteligibilityrequirementsforFederal,StateandInstitutionalfinancialaidprograms.
YCCDreservestherighttomodifyyourawardsatanytime.Arevisedawardletterwillbepostedifanawardismodified.
TheFinancialAidOfficereviewsyourenrollmentstatus,satisfactoryacademic
progress(SAP)andothereligibilitycriteriaand
willauthorizeapaymentifyouareeligible.Theamountslistedonyourfinancialaidawardletterreflecttheawardsforafull‐
timestudent.Theamountyoureceivemaybelessbecauseitisbasedonthenumberofunitsyou
areactivelyenrolledin
whenthedisbursementsareprocessed.


Rev12/18/18
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCounty Campus
15880DamRoadExtension
Clearlake,CA95422
7079957923
20192020IndependentVerificationWorksheet
CustomGroupV4
A.STUDENTINFORMATION
____________________________________________________________ ___________________________________________
LastNameFirstName M.I. SocialSecurityNumber
____________________________________________________________ ___________________________________________
MailingAddress(includeapt.no.)DateofBirth
____________________________________________________________ ___________________________________________
CityState ZipCode PhoneNumber(IncludeAreaCode)
B.HIGHSCHOOLCOMPLETIONSTATUS(Student)
Provideoneofthefollowingdocumentsthatindicateyourhighschoolcompletionstatuswhenthestudentwillbegincollegein
20192020.AstudentwhoisunabletoobtainthedocumentationlistedbelowmustcontacttheFinancialAidOffice.
HighSchoolDiploma
Acopyofthestudent’shighschooldiploma.
Acopyofthestudent’sfinalofficialhighschooltranscriptthatshowsthedatewhenthediplomawasawarded.
AcopyofDDForm214
RecognizedEquivalentofaHighSchoolDiploma
Acopyofthestudent’sGeneralEducationalDevelopment(GED)certificate.
AnofficialGEDtranscriptthatindicatesthestudentpassedtheexam.
AstatecertificateortranscriptthattheStaterecognizesastheequivalentofahighschooldiploma(HiSET,TASC,orotherstate
authorizedexamination).
Acopy
ofthe“secondaryschoolleavingcertificate”orothersimilardocumentforstudentswhocompletedsecondaryeducationina
foreigncountry.
Anacademictranscriptthatindicatesthestudentsuccessfullycompletedatleastatwoyearprogramthatisacceptableforfullcredit
towardabachelor’sdegree.
Homeschool
Forahomeschooledstudentfromastatewherestatelawrequiresthestudenttoobtainasecondaryschoolcompletioncredentialfor
homeschool(otherthanahighschooldiplomaoritsrecognizedequivalent),acopyofthatcredential.
Forahomeschooledstudentfromastatewherestatelawdoesnotrequirethestudenttoobtainasecondaryschoolcompletion
credentialforhomeschool(otherthanahighschooldiplomaoritsrecognizedequivalent)atranscriptorequivalent,signedbythe
student’sparentorguardian,thatliststhesecondaryschoolcoursesthestudentcompletedandincludesastatementthatthestudent
successfullycompletedasecondaryschooleducationinahomeschoolsetting.
C.IDENTITYANDSTATEMENTOFEDUCATIONALPURPOSE(Student)
PleasereadandcompletetheIdentityandStatementofEducationalPurposeonpage2or3 ofthisform.Youmustcompleteone
oftwooptions. Witheitheroption,youmustprovideacopyof agovernmentissuedphotoidentificationcardwiththeform.This
canincludebutisnotlimited
toadriver’slicense,otherstateissuedID,orpassport.
Option1:YoucansigntheforminthepresenceofaFinancialAidstaffmember.
Option2:Allowsthestudenttosigntheformbeforeanotarypublic.
D.CERTIFICATIONANDSIGNATURE(StudentandSpouse)
Eachpersonsigningthisworksheet,certifiesthatalltheinformation
providedistrueandcompletetothebestoftheirknowledge.
____________________________________________________________________________________________________________________
StudentSignature  DateSpouse’sSignature(optional)
Date
Page1IndependentV4 
WARNING:Ifyoupurposelygivefalseormisleadinginformationon
thisworksheet
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ail
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Office Use Only:
DATE received:
StudentName(Print):___________________________________________StudentID#:_______________________________
YubaCommunityCollegeDistrict
 FinancialAidOffices


IdentityandStatementofEducationalPurpose
AsrequiredbytheDepartmentofEducation,youmustcompleteeitheroption 1attheFinancialAidOfficeatthecampusyouattendoroption2
withaNotaryPublic.Witheitheroption,youmustprovideacopyofavalidgovernmentissuedphotoidentificationcardwiththisform.
A.OPTION#1
The student must appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her identity by presenting a valid
governmentissuedphotoidentification (ID), such as, but not limitedto,a driver’s license, other stateissued ID, or passport. The institution will
maintain a copy of the
student’s photo ID that is annotated by the institution with the date it was received and reviewed and the name of the
officialattheinstitutionauthorizedtocollectthe student’sID.
Inaddition,thestudentmustsign,inthepresenceoftheinstitutionalofficial,thefollowingEnglishorSpanish
statement:
STATEMENTOFEDUCATIONALPURPOSE
IcertifythatI,______________________________________________________________,amtheindividualsigningthisStatementofEducational
(PrintStudent’sName)
PurposeandthatthefederalstudentfinancialassistanceImayreceivewillonlybeusedforeducationalpurposesandtopaythecostofattending
YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor20192020.
DECLARACIÓNDEPROPÓSITOEDUCATIVO
Certificoqueyo,___________________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad
(ImprimirNombredelEstudiante)
Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizadaparafines educativosyparapagarelcostodeasistir
aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara20192020.
B.CERTIFICATIONANDSIGNATURE
Eachpersonsigningthisworksheetcertifiesthatallthe
informationreportediscompleteandcorrect.
___________________________________________________________________ ______________________________________________
StudentSignature/FirmadeEstudiante  Date/Fecha Student’sIDNumber/NúmerodeIdentificacióndelEstudiante
FINANCIALAIDOFFICEUSEONLY:
___________________________________________________________________ ______________________________________________
FinancialAidRepresentativeSignature Date TypeofValidID
Page2IndependentV4 
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
Lake County Campus
15880DamRoadExtension
Clearlake,CA95422
7079957923
WARNING:Ifyoupurposelygivefalseormisleadinginformationon
thisworksheet
,
y
ouma
y
befined
,
besentencedto
j
ail
,
orboth.
StudentName(Print):___________________________________________StudentID#:_______________________________
YubaCommunityCollegeDistrict
 FinancialAidOffices

IdentityandStatementofEducationalPurpose
A.OPTION#2
IfthestudentisunabletoappearinpersonatYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEtoverifyhisorheridentity,thestudentmust
providethefollowing:
(a) Acopyofthe validgovernmentissuedphotoidentification(ID)thatisacknowledgedinthenotarystatementbelow,suchasbutnot
limitedtoadriver’slicense,otherstateissuedID,orpassport;and
(b) TheoriginalnotarizedStatementofEducationalPurpose(inEnglishorSpanish)providedbelow.
STATEMENTOFEDUCATIONALPURPOSE
IcertifythatI,__________________________________________________________,amtheindividualsigningthisStatementofEducational
(PrintStudent’sName)
PurposeandthatthefederalstudentfinancialassistanceImayreceivewillonlybeusedforeducationalpurposesandtopaythecostofattending
YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor20192020.
DECLARACIÓNDEPROPÓSITOEDUCATIVO
Certificoqueyo,_______________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad
(ImprimirNombredelEstudiante)
Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizadaparafines educativosyparapagarelcostodeasistir
aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara20192020.
B.CERTIFICATIONANDSIGNATURE
Eachpersonsigningthisworksheetcertifiesthatallthe
informationreportediscompleteandcorrect.
___________________________________________________________________ ______________________________________________
StudentSignature/FirmadeEstudiante  Date/Fecha Student’sIDNumber/NúmerodeIdentificacióndelEstudiante
C.NOTARY’SCERTIFICATEOFACKNOWLEDGEMENT
Stateof_____________________________________City/Countyof__________________________________________________________
On________________________________________,beforeme,______________________________________________________,personally
(Date) (Notary’sName)
appeared,____________________________________________________,andprovedtomeonbasisofsatisfactoryevidenceofidentification
(Printednameofsigner)
_____________________________________________________,tobetheabovenamedpersonwhosignedtheforegoinginstrument.

(TypeofgovernmentissuedphotoIDprovided)
WITNESSmyhandandofficialseal 
(seal)________________________________________________________ 
Mycommissionexpireson___________________________________ (NotarySignature)
(Date)
Page3 IndependentV4
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCountyCampus
15880DamRoadExtension
Clearlake,CA95422
7079957923
FINANCIALAIDOFFICEUSEONLY:
DateAwarded/FATech:_________________________ISIR:__________EFC:__________⃝IdentityResultsReportedinFAAAcess
Comments:
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