Fillable Southeastern Louisiana University Verification of Marital Status Dependent

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Southeastern Louisiana University Verification of Marital Status Dependent

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Student's Name:
I,
Southeastern Louisiana University
Verification of Marital Status
Dependent
Office of Financial Aid
SLU 10768
Hammond, LA 70402
Phone: 985-549-2244
Fax: 985-549-5077
University ID: W
(required)
INSTRUCTIONS TO STUDENTS and/or PARENTS: You and your parent are completing this form to verify
your parents marital status as of the date the FAFSA was filed. You are certifying this information to be true and
correct.
(Parents Name)
, certify that I am/was
(Married / Remarried, Never Married, Divorced / Separated, Widowed)
As of today, my marital status is
I/We reside at
(Physical Address - NO P.O. Box)
.
.
as of the date student's FAFSA was filed.
(Married / Remarried, Never Married, Divorced / Separated, Widowed)
If married, the name of my spouse is
.
The date we were married or began living together is
.
(Physical Address - NO P.O. Box)
If separated/divorced, the date of separation/divorce was .
My spouse resides at
.
The date of birth for my spouse is
.
Did you file 2016 taxes with your spouse?
If yes, please submit all W-2's for the 2016 tax year.
If separated, you must provide documentation of two separate addresses.
Page 1 of 2
Yes No
Please read, sign and date.
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 this completed form. This information may include your U.S. or state income tax forms, divorce
decree, utility bills, etc. Also, you certify that you understand that the Secretary of Education has the authority
to verify information reported on this form with the Internal Revenue Service and other federal agencies.
If you purposely give false or misleading information, you may be fined $20,000, sent to prison, or both.
Student's Signature: ____________________________________________ Date: _____________________________
Parent's Signature: ____________________________________________ Date: _____________________________
FAA Comments :
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
University ID (or Social Security Number)
Full Name Age
Relationship
to Student
College
Enrolled at Least Half-
Time (Yes or No)
SELF
Southeastern LA Univ.
Dependent Student's Family Information
List below the people in your parent(s) household. Include:
• Yourself and your parent(s) (including a stepparent) even if you don't live with your parent(s).
• Your parent(s) other children if your parent(s) will provide more than half of their support from July 1, 2018,
through June 30, 2019, or if the other children would be required to provide parental information if they were
completing a FAFSA for 2018-19. Include children who meet either of these standards, even if they do not live
with your parent(s).
• Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and
will continue to provide more than half of their support through June 30, 2019.
For any household member, excluding the parent(s), who will be enrolled at least half-time in a degree, diploma, or
certificate program at an eligible postsecondary educational institution any time between July 1, 2018 and June 30,
2019, include the name of the college.
Page 2 of 2
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Southeastern Louisiana University Verification of Marital Status Dependent

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Completed 8 April 2020

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