Newark, DE 19716-6740
Phone: 302-831-2126
Fax: 302-831-3041
Student Financial Services
2019-2020 Academic Year
SNAP (Supplemental Nutrition Assistance Program) Verification Form
Your Free Application for Federal Student Aid (FAFSA) has been selected for Federal Verification which
requires Student Financial Services (SFS) to verify information you provided on your FAFSA. Federal law
states that SFS has the right to ask you for this information before awarding federal aid. If there are
differences between your application information and the verification documents, SFS will make the
corrections and send the required changes electronically to the federal student aid processor to have your
information reprocessed. SFS will email a revised offer of financial aid assistance only if a change is
necessary as a result of this process within one week of the University’s completion of your file. CFR Title
34, Part 668
Complete this form in its entirety; all sections MUST be completed. Sign and submit this form along with
the SNAP eligibility verification letter. Failure to complete this form in its entirety will deem the form
incomplete and will not fulfill the verification requirement. Only handwritten signatures will be accepted;
digital signatures are prohibited.
Please submit this document via My SFS Docs:
Student Information
Last Name First Name
Permanent Address City State ZIP
UDID Phone D.O.B. UD Email
SNAP Benefit Received
You have indicated on y our FAFSA that you or a member of your household received benefits from the Supplemental
Nutrition Assistance Program, or SNAP (formerly known as the Food Stamp Program) sometime during 2016 or 2017.
Please select one of the following statements.
I (or my spouse) received SNAP (Food Stamps) benefits during 2016 or 2017. I have attached the SNAP eligibility
verification letter.
My parent(s) received SNAP (Food Stamps) benefits during 2016 or 2017. I have attached SNAP eligibility verification
Neither I nor my spouse/parent(s) received SNAP (Food Stamps) benefits during 2016 or 2017.
If you do not have the original eligibility verification letter, please contact your case worker to obtain a copy.
I (We) hereby affirm that all information reported on this form and any attachment hereto is true, complete, and accurate to
the best of my (our) knowledge. I (We) understand that if I (we) receive federal student aid based on incorrect information, I
(we) will need to repay it; I (we) may be required to pay fines and fees.
WARNING: If you intentionally give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.
Student Signature
Parent Signature