SUNY Potsdam One Stop/Financial Aid
Office 44 Pierrepont Avenue Potsdam, NY 13676
Phone: (315) 267-2943 Fax: (315) 267-3067 Email:
Student Name: Potsdam ID:
NO PARENT DATA on FAFSA Intention Form
INSTRUCTIONS: You did not report information about your parents on your FAFSA and your answers to the
dependency questions appear to indicate parental information is required. Please read and check the option below which
best states your intention regarding your FAFSA application, as well as follow the instructions and submit all required
information. Providing parent information does not obligate your parent to accept financial responsibility for your bill.
1. Check the option below that best states your intention regarding your FAFSA application:
I made an error when I failed to report parent information on the FAFSA. I will correct my FAFSA and provide
all required parent information.
Contact the Financial Aid office if you have difficulty updating the FAFSA application.
I am applying for the Federal Unsubsidized Loan only.
You have the option to apply for just the Federal Unsubsidized Loan without providing parent information.
The Federal Unsubsidized Loan accrues interest while you are in school
which you can pay or have
capitalized. The amount you can receive is limited and you will not be eligible for any other federal aid.
To pursue this option, y
ou must provide a signed and dated statement from your parent stating that they:
1. Have stopped providing financial support to you and that clearly states the date support ended,
2. Will not provide financial support in the future, and
3. Refuse to complete the parental section of the FAFSA.
I am unable to provide parental information on the FAFSA application. There are special circumstances
that exclude me from being able to provide the required information.
We have discretion to override dependency requirements in very limited circumstances. Complete the
Request for Independence Consideration Form and return to our office along with all appropriate
documentation. The form is available online at
Approval of your request is not guaranteed.
2. By signing below I am certifying the above checked information is correct and I will follow through on any
documentation requested.
Student Signature
updated 4/19
Providing parent information does not make the parent responsible for the student's college bill.