Verification Worksheet Page 3
Download a blank fillable Verification Worksheet 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 Verification Worksheet 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
2
3
4F. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)
Did someone in your parent(s)’ household (listed in Section B) receive SNAP Benefits in 2014 or 2015?
Check only one box below.
o
YES, one of the persons listed in Section B of this worksheet received SNAP benefits in 2014 and/or 2015.
(If asked I will provide documentation of the receipt of this.)
o
NO, none of the persons listed in Section B of this worksheet received SNAP benefits in 2014 and/or 2015
G. CHILD SUPPORT PAID
Did you or your parent(s) listed in Section B of this worksheet PAY child support for the year of 2015?
o
YES
o
NO
If yes, complete the following chart:
Amount of
Name of Person Who Paid
Name of Person to Whom
Name of Child for Whom
Age of Child for Whom
Child Support
Child Support
Child Support was Paid to
Support Was Paid
Support Was Paid
Paid in 2015
Total
$
H. SIGN THIS WORKSHEET
By signing this worksheet, (we) certify that all the information
WARNING: If you purposely give false or misleading
reported to qualify for Federal student aid is complete and
information on this worksheet, you may be fined, be
correct. The student and at least one parent must sign.
sentenced to jail, or both.
_______________________________________
Student
Date
THE STATE UNIVERSITY OF NEW YORK AT FREDONIA
OFFICE OF FINANCIAL AID
_______________________________________
209 MAYTUM HALL
Father/Stepfather
Date
FREDONIA, NY 14063
_______________________________________
Mother/Stepmother
Date
DO NOT LEAVE ANY QUESTIONS UNANSWERED.
YOU MUST “CHECK” A BOX FOR EACH QUESTION.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal