Institutional Verification Form printable pdf download

2015-2016

Financial Aid Office

Institutional Verification Form

Your application was selected for review in a process called “Verification”. In this process, the school will be

comparing information from your application with copies of you and your spouse/ parent(s)’ 2014 lRS Tax

Transcripts and other financial documents, which must be submitted in a timely manner and will be retained in your

permanent record. The school must review the requested information, under the financial aid program rules (CFR Title

34, Part 668) before awarding Federal Aid. If there are differences between your application information and your

financial documents, you may need to electronically correct your FAFSA, or your school may submit an electronic

correction to have your information processed.

STUDENT INFORMATION: (Complete entire form in black or blue ink)

________________________________________________________________

____________________________________

Last Name

First Name

M. I

EPCC ID Number

________________________________________

________________________

Address (include apt. number)

Date of Birth

__________________________________________________

(_____)________________________

City

State

Zip code

Phone number

FAMILY HOUSEHOLD INFORMATION:

A. Who may be included in a dependent student’s household:

1. Yourself and your parent(s) (including stepparent) even if you don’t live with your parents.

2. Your parents’ other children, even if they don’t live with your parent(s), if (a) your parents will provide more than half

of their support from July 1, 2015 through June 30, 2016, or (b) the children would be required to provide parental

information when applying for federal student aid. Do not include children for whom your parent(s) are paying child

support.

Include other people only if:

Between July 1, 2015 through June 30, 2016 these individuals will live with your parent(s) and your parent(s) will be

providing more than half of their support within this timeframe

B. Who may be included in an independent student’s household:

1. Yourself, and your spouse (if you have one)

2. Your children, if you will provide more than half of their support from July 1, 2015 through June 30, 2016, even if they

do not live with you. Do not include children for whom you or your spouse are paying child support.

Include other people only if:

Between July 1, 2015 through June 30, 2016 these individuals will live with you and you and/or your spouse will be

providing more than half of their support within this timeframe.

Full Name

Age

Relationship

UNITED STATES COLLEGE/UNIVERSITY

SELF

El Paso Community College

Additional Comments:

Rev. 03/25/2015

"The El Paso County Community College District does not discriminate on the basis of race, color, national origin, religion, gender, age,

disability, veteran status, sexual orientation, or gender identity"

Institutional Verification Form

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