Dependent Student Verification Worksheet - Fafsa
ADVERTISEMENT
1
2
3
42016–2017 Verification Worksheet
Dependent Student
Your 2016–2017 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says
that before awarding Federal Student Aid, we may ask you to confirm the information you and your parents reported on your FAFSA. To
verify that you provided correct information the financial aid administrator at your school will compare your FAFSA with the information
on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected.
You and at least one parent must complete and sign this worksheet, attach any required documents, and submit the form and other required
documents to the financial aid administrator at your school. Your school may ask for additional information. If you have questions about
verification, contact your financial aid administrator as soon as possible so that your financial aid will not be delayed.
A. Dependent Student’s Information
______________________________________________________________
___________________________________
Student’s Last Name
Student’s First Name
Student’s M.I.
Student’s Social Security Number
______________________________________________________________
___________________________________
Student’s Street Address (include apt. no.)
Student’s Date of Birth
______________________________________________________________
___________________________________
Student’s Email Address
City
State
Zip Code
______________________________________________________________
___________________________________
Student’s Home Phone Number (include area code)
Student’s Alternate or Cell Phone Number
B. 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, 2016, through June
30, 2017, or if the other children would be required to provide parental information if they were completing a FAFSA for
2016–2017. 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, 2017.
Include the name of the college for any household member, excluding your parent(s), who will be enrolled, at least half time in a
degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2016, and June 30,
2017. If more space is needed, attach a separate page with the student’s name and Social Security Number at the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
Missy Jones (example)
18
Sister
Central University
Yes
Self
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal