Independent Student Status Documentation 2013-2014

UCSD, Financial Aid Office, Dept. 0013, 9500 Gilman Drive, La Jolla, CA 92093-0013
PID Last Name First Name

Independent students applying for financial aid are required to supply one of the following documents listed below to UCSD Financial Aid Office to verify their independent status. Dependent students required to supply parental information on the 2013-14 Free Application for Federal Student Aid (FAFSA)or California Dream Act Application should not submit this form. To receive priority funding, you must submit this form by the May 21, 2013 deadline.

I certify that all of the information provided on this form is true and correct. Any attached documents required to verify my independent status are true and exact copies of the originals.

Student's Signature_______________________________________________   Date_________________



Check one box for the FAFSA criteria you have met to be considered as an independent student for 2013-14. Check the required item(s) attached to this form and submit to Financial Aid Office.
  Born before January 1, 1990   List your birth date:_____________________________
Your birth date will be verified with UCSD records.
  Veteran of the U.S. Armed Forces or Active Duty Status (See instructions online:   Copy of your DD214 (separation papers) or a copy of military orders attesting to active duty status.
  Both parents are deceased   Copies of parental death certificates or ascertainment both parents are deceased.
  Ward of the court, emancipated or in legal guardianship   Copy of court decree
  Determined to be unaccompanied youth (21 or under) who was homeless or self supporting and at risk of being homeless on or after July 1, 2012   Copy of certification of program participation
  Statement explaining current living situation
  In Foster Care at the age of 13 or older   Copy of certification of program participation
  Married after filing FAFSA or California Dream Act Application
  Copy of marriage certificate
  Copy of marriage certificate and statement from parents that they are not supporting you, and will not claim you on future tax returns.
  Legal dependents other than spouse   Copy of child’s birth certificate
  Attach statement of support for other persons, who are not your children but live with you and will receive more than half of their support from you through June 30, 2014.
2012 federal tax transcript forms
  Independent Appeal approved by Financial Aid Office

Office use:
Date FAFSA to student w/override:_____________________
TU2: Stype “FAFSAOVR” “Override FAFSA given to student (date, counselor initial)

  Year your appeal was approved____________.
  Attach statement affirming conditions for determining your independent status continue to exist in the subsequent year.