FORM PSSNV - IDAHO STATE UNIVERSITY 19-20
VERIFICATION OF SOCIAL SECURITY INFORMATION
PARENT(S)
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. You must complete the verification process before the Office of
Financial Aid can establish your eligibility for assistance. You must return the
information requested on this form or you will not be considered for federal financial
aid. Please return this completed form with applicable attachments to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem@isu.edu
Web: www.isu.edu/financialaid/forms/
PSSNV-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
We received information from the Social Security Administration that your parents name, social
security number, and/or date of birth did not match their records. Either the information was left blank
or the name(s)/number(s) reported were incorrect. You may correct this on your FAFSA application.
Then notify us that you have corrected the FAFSA. (See contact information above.)
Or, please complete the information below (as it appears on your Social Security Card):
Parent 1 - Last Name:
Parent 1 - First Initial:
Parent 1 - Social Security Number:
Parent 1 - Date of Birth (mm/dd/yyyy):
Parent 2 - Last Name:
Parent 2 - First Initial:
Parent 2 - Social Security Number:
Parent 2 - Date of Birth (mm/dd/yyyy):
‘ Copies of parents’ Social Security Card(s) “must be attached” for verification purposes,
unless no Social Security Card has been issued and you only have an Individual Tax Identification Number (ITIN).
(The information for the parent(s) who were reported on your FAFSA must be included above.)
CERTIFICATION: The person signing below certifies that all of the information reported is complete
and correct.
Parent Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/14/2018) (S:\20_Forms\formPSSNV.wpd)
‘ Do not have SSN
‘ Do have ITIN
(Individual Tax ID #)
‘ Do not have SSN
‘ Do have ITIN
(Individual Tax ID #)
Please fill in the blanks, print, sign and return
Press tab or shift-tab to move between fields
