FORM BCERT - IDAHO STATE UNIVERSITY 19-20
BIRTH CERTIFICATE COPY REQUEST
The federal government requires colleges to check the accuracy of the information you
provided on your Free Application for Federal Student Aid ( FAFSA
). This process is
called verification. Students are required to complete the verification process before the
Office of Financial Aid can establish eligibility for assistance. You must provide the
information requested on this form or you will not be considered for federal financial
aid. Please return this completed form with attachment to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Email: finaidem@isu.edu
Phone: (208)282-2756 Fax: (208)282-4755
Web: https://www.isu.edu/financialaid/forms/
BCERT-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
INSTRUCTIONS:
The Department of Education could not match either your name, social security number or date of
birth with other federal agencies. In order to resolve this issue, please attach a copy of your birth
certificate for verification of your information and return to the address above.
CERTIFICATION: The person signing below certifies that all of the information reported is complete
and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/06/2018) (S:\20_Forms\formBCERT.wpd)
Please fill in blanks, print, attach birth cert & return
Press tab or shift-tab to move between fields
