Yuba Community College District
Financial Aid Offices
Yuba College
2088 North Beale Road
Marysville, CA 95901
530-749-7999
Woodland Community College
2300 East Gibson Road
Woodland, CA 95776
530-661-5725
Lake County Campus
15880 Dam Road Extension
Clearlake, CA 95422
707-995-7923
2020-2021 Dependency Determination Form
_____________________________________________ _______________________________
Last Name First Student ID
_________________________________________________ _________________________________
Mailing Address Date of Birth
_________________________________________________ _________________________________
City State Zip Phone Number (Include Area Code)
Your status as an “independent” student is based solely on your response to questions on your 2020-2021 FAFSA.
Yuba Community College District requires that you submit documentation verifying your dependency status.
Check the status that best represents your situation. Submit the required documentation and this form to the
Financial Aid Office as soon as possible. If you have any questions, please contact the Financial Aid Office at the
campus you attend.
Dependency Status Required Documentation
Orphan
You had no living parent (biological or adoptive) at any time
since you turned age 13, even if you are now adopted.
Death certificates for both parents
Foster Care
In foster care at any time since you turned age 13, even if you
are no longer in foster care as of today.
Legal documentation from your state of
residency
Dependent/Ward of the Court
A dependent or ward of the court at any time since you turned
age 13, even if you are no longer a dependent or ward of the
court as of today.
Court Orders/Records
Emancipated Minor
An emancipated minor as determined by a court in your state
of legal residency.
Note: This does not apply to you if you are still a minor and the court
decision is no longer in effect or the court decision was not in effect at
the time you become an adult.
Court Orders/Records
Legal Guardianship
In legal guardianship as determined by a court in your state
of legal residency.
Note: This does not apply to you if you are still a minor and the court
decision is no longer in effect or the court decision was not in effect at
the time you become an adult.
Court Orders/Records
Page 1
CERTIFICATION: I certify that the information provided on this form is true and correct to the best of my knowledge.
_____________________________________________ _______________________________
Student Signature Date
Financial Aid Office Use Only
FA Decision: Approved Denied
Documentation Submitted: _____________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
_____________________________________________________ __________________________________
Financial Aid Signature Date
Page 2 Dependency Determination
Rev. 03/27/20
Dependency Status Required Documentation
Unaccompanied Youth
At any time on or after July 1, 2019, your high school or school
district homeless liaison determined that you were an
unaccompanied youth who was homeless.
Note: Refer to definitions below.
A determination or letter from your high
school or school district homeless liaison
Unaccompanied Youth
At any time on or after July 1, 2019, the director of an emergency
shelter or transitional housing program funded by the U.S.
Department of Housing and Urban Development determined that
you were an unaccompanied youth who was homeless.
Note: Refer to definitions below.
A copy of your determination or letter from
the director of an emergency shelter or
transitional housing program funded by the
U.S. Department of Housing and Urban
Development that determined that you were
an unaccompanied youth who was homeless.
Unaccompanied Youth
At any time on or after July 1, 2019, the director of a runaway or
homeless youth basic center or transitional living program
determined that you were an unaccompanied youth who was
homeless or were self-supporting and at risk of being homeless?
Note: Refer to definitions below.
A copy of your determination or letter from
the director of a runaway or homeless youth
basic center or transitional living program.
Submit completed 2020-2021
Unaccompanied Homeless Youth
Determination Form
Definitions for dependency questions on the FAFSA:
“Homeless” means lacking fixed, regular and adequate housing, which includes living in shelters, motels or cars, or
temporarily living with other people because you had nowhere else to go.
“Unaccompanied” means you are not living in the physical custody of your parent or guardian.
“Youth” means you are 21 years of age or younger or you are still enrolled in high school as of the day you signed the
FAFSA application.
“Self Supporting” means you pay for your own living expenses, including fixed, regular, and adequate housing.
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