Financial Aid Office • SUNY Plattsburgh • 101 Broad Street • Plattsburgh, NY 12901-2681
Tel: (518) 564-2072 • Toll-Free: (877) 768-5976 • Fax: (518) 564-4079 • email: firstname.lastname@example.org
Revised: 12/01/2019 IDENT
VERIFICATION OF IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE FOR 2020-2021
Student Name: ___________________________ Banner ID or NetID: ____________________________
1. If you are unable to appear in person at the Financial Aid Office, complete the Sign with Notary section
below in the presence of a notary. Then, mail this original document (no faxes, scans, or copies) to the
Financial Aid Office along with a copy of the valid government-issued photo identification that is
acknowledged in the notary’s certification.
2. If you, the student, are able to appear in person at the Financial Aid Office at SUNY Plattsburgh, complete
the Sign at Financial Aid Office section on the opposite page in the presence of an official of the
Financial Aid Office.
SIGN WITH NOTARY
If you, the student, are unable to appear in person at the Financial Aid Office, to verify identity you must
provide the Financial Aid Office with both of the following:
a) A copy of the unexpired valid government-issued photo identification (ID) that is acknowledged in the
notary statement below. Examples include, but are not limited to, a driver’s license, other state-issued ID,
b) The original notarized Statement of Educational Purpose provided below (cannot be faxed or scanned).
Statement of Educational Purpose
I certify that I _______________________ am the individual signing this Statement of Educational Purpose
(Print Student’s Name)
and that the Federal student financial assistance I may receive will only be used for educational purposes
and to pay the cost of attending SUNY Plattsburgh for 2020-2021.
Student Ink Signature Date
Notary’s Certificate of Acknowledgement (to be completed by notary)
State of _____________ City/County of ___________ On _________, before me, ___________________,
(Date) (Notary’s name)
personally appeared, ______________________________, and provided to me on basis of satisfactory
(Printed name of signor)
evidence of identification __________________________________________ to be the above-named
(Type of unexpired government-issued photo ID provided)
person who signed the foregoing instrument.
WITNESS my hand and official seal ___________________. My commission expires on _____________.
(seal) (Notary signature) (Date)
FAO Reminder = Verify identity on FAA Access - Name ID = first two letters of last name)