Noncustodial Parent Waiver Petition Form Page 2
Download a blank fillable Noncustodial Parent Waiver Petition Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Noncustodial Parent Waiver Petition Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2FREQUENCY OF CONTACT
How many times in the past year have you had contact with your noncustodial parent?
What was the nature of the contact (e.g., letter, visit, phone call)?
If no contact in the past year, indicate the date and nature of last contact with your noncustodial parent.
CHILD SUPPORT
Did your noncustodial parent pay child support in the past year?
Yes
No
If yes, indicate the total amount paid for you (the student)
$
Support is (check all that apply)
voluntary
court-ordered
paid by wage garnishment
Indicate the expected date child support will end for you (the student)
If no, indicate the last year he/she paid child support:
THIRD PARTY DOCUMENTATION
Attach TWO statements from impartial third parties that verify the amount of contact you have with your
noncustodial parent. Examples of acceptable third party individuals include a counselor, clergy member, or another
impartial source familiar with your situation in a professional capacity. Letters from family members or friends will
not fulfill the requirement.
Third party letter requirements:
• Must be on letterhead
• Must indicate the person’s relationship to you, the student
• Must address the amount of contact you have with
• Must be signed by the impartial third party
your noncustodial parent
CUSTODIAL PARENT STATEMENT
Please provide a brief explanation regarding your child’s extenuating circumstances with his/her noncustodial parent
to help us better understand the situation.
I certify that all the information provided on this form is true and complete to the best of my knowledge. I understand that if this waiver
request is approved, and the relationship with my child’s noncustodial parent changes during their time at Cornell, I will notify the Office of
Financial Aid and Student Employment of the change. I understand we may be required to submit his/her information at that time.
Custodial Parent’s Signature ________________________________ Date _____________
Page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Letters