FORM SSNV - IDAHO STATE UNIVERSITY 19-20
VERIFICATION OF SOCIAL SECURITY INFORMATION
STUDENT
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 Ave, Stop 8077, Pocatello, ID 83209-8077
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Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem@isu.edu
Web: https://www.isu.edu/financialaid/forms
SSNV-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 name, social security
number and/or date of birth did not match their records. Either the information was left blank or was
reported incorrectly.
Please complete the information below (as it appears on your Social Security Card):
Student Last Name:
Student First Name:
Student Middle Initial:
Student Social Security Number:
Student Date of Birth (mm/dd/yyyy):
I understand a copy of my Social Security Card “must be attached” for verification purposes.
*Important Note: The name shown on the FAFSA must match exactly with how your
name appears on your Social Security Card.
I have recently changed my name and have corrected the information with the local Social
Security Administration Office. I have attached a copy of my new Social Security Card.
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. 12/13/2018) (S:\20_Forms\formSSNV.wpd)
Please fill in the blanks, print, sign and return
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