Institution Verification Form
Student Information
Student Name
First Name
Last Name
Student Email
example@example.com
Student Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Information
Relationship
Parent/Guardian Name
First Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Income Information
I've completed federal tax returns and utilized IRS data retrieval on the FAFSA application.
I've completed my federal tax return. I submitted Federal Tax Return Forms.
I will not file federal taxes, yet I've worked and earned money.
I will not file federal taxes because I do not have a source of income.
Today Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent Signature
Student Signature
Submit
Should be Empty: