PLEASE DO NOT FAX THIS FORM. WE MUST RECEIVE AN ORIGINAL
SIGNATURE FOR FAFSA CERTIFICATION.
Student Name: _________________________________ SSN/ID: _____________________
The Financial Aid Office at Redlands Community College cannot process your Free
Application for Federal Student Aid (FAFSA) without the appropriate signature(s). Please read
the certification below and provide signature(s) at the bottom.
CERTIFICATION
If you are the student, by signing this form you certify that you (1) will use federal and/or
state student financial aid only to pay the cost of attending an institution of higher education,
(2) are not in default on a federal student loan or have made satisfactory arrangements to repay
it, (3) do not owe money back on a federal student grant or have made satisfactory arrangements
to repay it, (4) will notify your college if you default on a federal student loan and (5) will not
receive a Federal Pell Grant from more than one college for the same period of time.
If you are the parent or the student, by signing this form you agree, if asked, to provide
information that will verify the accuracy of your completed FAFSA application. This
information may include U.S. or State income tax forms that you filed or are required to file.
Also, you certify that you understand that the Secretary of Education has the authority to
verify information reported on this application with the Internal Revenue Service and
other Federal Agencies. If you sign any document related to the federal student aid programs
electronically using a Personal Identification Number (PIN), you certify that you are the person
identified by the PIN and have not disclosed that PIN to anyone else. If you purposely give
false or misleading information, you may be fined $20,000, sent to prison, or both.
Student Signature ___________________________________ Date____________________
*Parent Signature____________________________________ Date___________________
* Only if parental information is required on the FAFSA.
2021-2022
Student/Parent Signature Form
Office of Financial Aid
1300 S Country Club Road - El Reno, OK 73036
405-422-6250 – Fax: 405-422-1463
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