Riverside City College - Student Financial Services
Agency Verification Request Form
This form is for releasing information to an outside agency or institution to verify any financial aid that you
may be receiving at Riverside City College.
The RCC Student Financial Services office does not verify enrollment status. If you need
enrollment verified, you must request verification of enrollment from the Admissions & Records counter.
If you have chosen to “PICK UP” your form, we will keep it on file for 2 months from the date you submit
it. After 2 months, you will need to submit a new request.
You must allow us at least 7 to 10 business days for your request to be processed. Any incorrect
or illegible information or missing signature will delay the processing of your request.
Please print clearly:
Name _____________________________________ RCC ID #____________________________________
Phone #
________________________________ Date ____________________________________________
I authorize Riverside City College Student Financial Services to release information regarding my
f
inancial aid to an outside agency or institution:
S
ignature
____________________________ Date ___________________________________
Please circle that you would like to pick up the form or for our office to mail it.
PICK UP OR MAIL
*You must bring a picture ID Please list below Name and Address where form
is to be mailed.
___________________________________
___________________________________
___________________________________
Please mark an ( X ) for the term in which you are requesting information to be verified for the
following semesters:
S
ummer 2020_____ Fall 2020_____ Winter 2021_____ Spring 2021_____
________________________________________________________________________________________________________
Office Use Only:
Form attached? ___Yes ___ No
Financial Aid Advisor
Sent to A&R Date:__________ Received__________
Emailed ___________
click to sign
signature
click to edit
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