Dependent Student Child Support Verification Form - 2017-2018
Download a blank fillable Dependent Student Child Support Verification Form - 2017-2018 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 Dependent Student Child Support Verification Form - 2017-2018 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
2SWAINSBORO • 346 Kite Road • Swainsboro, Georgia 30401 • Phone (478) 289-2200 • Fax: (478) 289-2263
VIDALIA • 3001 East First Street • Vidalia, Georgia 30474 • Phone (912) 538-3100 • Fax (912) 538-3156
Southeastern Technical College is an Equal Opportunity Institution
2017-2018 Dependent Student Child Support Verification Form
Your 2017-2018 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 reported on your FAFSA. To verify that you provided correct information, we will compare your FAFSA with
the information on this institutional verification document and with any other required documents. If there are
differences, your FAFSA information may need to be corrected. You and a parent whose information was
reported on the FAFSA must complete and sign this institutional verification document, attach any required
documents, and submit the form and other required documents to us. We may ask for additional information.
Dependent Student’s Information
A.
_______________________________________________________
_____________________________
Student’s Last Name
Student’s Identification (ID) Number
First Name
M.I.
_______________________________________________________
_____________________________
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 Cell Phone Number (include area code)
Verification of Child Support Paid
B.
According to your 2017-2018 Federal Financial Aid Application (FAFSA), one of the parents included in the
household or the student paid child support in 2015. List below the names of the persons who paid the child
support, the names of the persons to whom the child support was paid, the names of the children for whom the
child support was paid, and the total annual amount of child support that was paid in 2015 for each child.
If more space is needed, provide a separate page that includes the student’s name and ID number at the top.
Who paid support
To whom was it paid
Child for which it was paid
Amount for 2015
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
_____________________ ______________________
______________________
_________________
ADVERTISEMENT
0 votes
