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### 2024-2025 Verification Worksheet Dependent Student (V1) Your 2024-2025 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 must ask you to confirm the information you and your parent...

### 2024-2025 Verification Worksheet Dependent Student (V1) Your 2024-2025 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 must ask you to confirm the information you and your parents reported on your FAFSA. To complete this process, please submit this form and any requested documents to the Financial Aid Office at the address listed above as soon as possible. **A. Student Information** * Student's Last Name: * Student's First Name: * Student's ID Number: **B. Household Information** List below the people your parents will support between July 1, 2024 and June 30, 2025. Include: * Yourself * Your parent(s) (including stepparent) even if you don't live with your parents * Your parents' other dependent children, if your parents provide more than one-half of their support, or the children would be required to provide parental information when applying for Federal Student Aid. * Other people if they now live with your parents and your parents provide more than one-half of their support and will continue to provide more than one-half of their support through June 30, 2025. Complete the table below. Include the name of the person, their relationship to you, their age, and the college they will be attending (if applicable). | Full Name | Relationship to Student | Age | College (if applicable) | | :-------- | :----------------------- | :-- | :----------------------- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | **Note:** If more space is needed attach a separate page with student's name and ID number at the top. **C. Child Support Paid** If your parent(s) paid child support in 2022, complete the table below. | Name of Person Who Paid Child Support | Name of Person to Whom Child Support Was Paid | Name of Child for Whom Support Was Paid | Amount of Child Support Paid in 2022 | | :------------------------------------ | :-------------------------------------------- | :--------------------------------------- | :-------------------------------------- | | | | | | | | | | | **Note:** We may request additional documentation to verify child support paid. **D. SNAP Benefits** Did anyone in your parent's household receive SNAP benefits at anytime during the 2022 calendar year? (Supplemental Nutrition Assistance Program, formerly known as food stamps). ☐ Yes ☐ No If yes, please provide documentation from the Social Security Administration or other government agency verifying benefits were received. **E. Other Untaxed Income** Please indicate if you or your parent(s) received any of the following types of untaxed income during the 2022 calendar year. Please provide the amount received. *Do not include items reported in section D (SNAP benefits).* | | Student | Mother | Father | | :-------------------------------------------------------------------------------------------------------- | :------- | :------ | :----- | | Payments to tax-deferred pension and retirement savings plans (paid directly or withheld from earnings) | \$ | \$ | \$ | | Child support received | \$ | \$ | \$ | | Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and the cash value of benefits) | \$ | \$ | \$ | | Veterans' noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation | \$ | \$ | \$ | | Other untaxed income: | \$ | \$ | \$ | | Other untaxed income: | \$ | \$ | \$ | **F. Certification and Signature** I certify that all information reported on this form is complete and correct. * Student Signature: * Date: * Parent Signature: * Date: