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(
Legal& Guardianship &Verification&
Student Name: UH& ID #:
Phone Nu
mber: Date of Birth:
This f
orm is required because you reported on your financial aid application that someone other than your parent or stepparent&
have legal guardianship& of you, as determined by& a court in your state of legal residence. The definition of legal guardianship does
not include your parents, even& if they were appointed& by a court to& be your guardians and& you& are not considered& a legal guardian&
of yourself. To& be eligible &for &financial&a id &please &provide &d o c u mentation &to &con fir m &your &status.
Check t
he box that is applicable to& you.
Yes, I am independent based on
someone other than my parent/stepparent has legal guardianship over me.
(Answer& “Yes” if& you can provide a copy of a court’s decision& that as of the day you& completed& the FAFSA& or if you&
were in &legal&guardianship &before &you &reached &the &age &of &being &an &adult in &your &state.) &Please provide( documentation
of your status.
No, I am either still a minor and the& court decision is no longer in effect, the& court decision was not in effect at the&
time I became an ad ult, o r& the co u rt& pap ers sa y “cu stod y” n ot& “ gu ardia nsh ip” . Yo u w ill nee d to do th e follo w ing:
1)
Go to fafsa.gov and select ‘LOG& IN’ under 'Returning User?'
2)
Login and follow instructions to 'Create& a Save Key’
3)
Find and select the& tab ‘Dependency Status
4)
Correct the question& that was answered& incorrectly.
5)
Continue with& the application& until you& are able to& sign& and& submit. Please be aware that you& may need your
parent(s) to& enter their information& on& the FAFSA& to continue.
*If yo
u are still considered dependent for& financial aid purposes but have& special circumstances involving your family& situation please
contact the Financial Aid Office.
Complete a
nd sign this& form, return it to your home campus& Financial Aid Office at the address& listed below.
Student Si
gnature: Date:
RETURN THIS FORM ALONG WITH ANY OTHER( REQUIRED DOCUMENTATION TO THE COMMUNITY COLLEGE CAMPUS THAT YOU WILL BE ATTENDING:
Community College
Address
Email
Phone
Hawaiʻi Community College
1175& Manon o Street *& Hilo, HI 96720
hawccfao@hawaii.edu
(808)& 934-2712
Honolulu Community College
874& Dillingham Boulevard *& Honolulu, HI 96817
honccfao@hawaii.edu
(808)& 845-9116
Kapiʻolani Community College
4303& Diamond Head Road *& Honolulu, HI 96816
kapfao@hawaii.edu
(808)& 734-9537
Kauaʻi Community College
3-1901& Kaumualiʻi Highway *& Lihuʻe, HI 96766
kauccfao@hawaii.edu
(808)& 245-8360
Leeward Community College
96-045& Ala& Ike& Street *& Pearl City, HI 96782
lccfao@hawaii.edu
(808)& 455-0606
University of Hawaiʻi Maui College
Windward Community College
310& West Kaʻahumanu Ave& *& Kahului, HI 96732
45-720& Keaʻahala& Road *& Kāneʻohe, HI 96744
mauifa@hawaii.edu
wccfao@hawaii.edu
(808)& 984-3277
(808)& 235-7449
The University is committed& to& a& policy of nondiscrimination& on& the basis of race, sex, gender identity and& expression, age, religion, &color, &national&origin, &ancestry, citizenship, disability,
genetic& information, marital status, breastfeeding, income& assignment for child support, arrest and court record (except as& permissible& under State& law), sexual orientation, national
guard absence, or status& as& a& covered veteran. UH& Title IX Coordinators'
names and& contact information& are available at: https://www.hawaii.edu/titleix/help/coordinator/ and UH 504&
Coordinators’ names a
nd& contact information& are available at: https://www.hawaii.edu/offices/eeo/ada-504-coordinators/
UH( HILO, UH( WEST OAHU( AND( UH( MĀNOA( STUDENTS NEED( TO CONTACT THEIR FINANCIAL AID( OFFICE FOR CAMPUS SPECIFIC FORMS.
Rev. 10/2019
click to sign
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