2023-2024 Household Size Verification

2023-2024 Household Size Verification
When you filed your Free Application for Federal Student Aid (FAFSA), the number of people you reported in your or your parent's household is significantly different than the number you reported on your FAFSA last year. Therefore, your FAFSA application was selected for review. If the information you provide on this form is different than the information you provided on your FAFSA, your FAFSA data may be corrected.
Campus Location: *
Student Information
Name*

First NameMiddle NameLast Name
Student ID*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Dependency Status
Please select your dependency status below
Parent Name

First NameLast Name
Email
example@example.com
Dependent Student Family Information
List all the people in your parents' household who will be supported by your parents between July 1, 2023 and June 30, 2024.

Be sure to include:
- Yourself, even if you don't live with your parent(s)
- Your parent(s), including step parent (If your parents are divorced/separated, use the parent information for the custodial parent who completed the FAFSA).
- Your parents' other children or other people, If they now live with your parents provide more than half of their support and will continue to provide more than half of their support from 7/1/2023 through 6/30/2024.
DO NOT INCLUDE CHILDREN FOR WHOM LISTED PARENT PAYS CHILD SUPPORT. DO NOT INCLUDE FOSTER CHILDREN.

Include the name of the college for any household member, excluding your parent(s), who wil lbe enrolled at least half-time in a degree, diploma, or certificate program at a postsecondary educational institution any time between 7/1/2023 and 6/30/2024.

Signatures and Certification

Each person signing this worksheet below certifies that all of the information reported on it is complete and correct and understands that if the Office of Financial Aid has reason to believe any information on this worksheet is inaccurate, they may require additional documentation.
Student Signature

Clear
Date

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
Independent Student Family Information
List all the people in your household who will be supported by you between July 1, 2023 and June 30, 2024.

Be sure to include:
- Yourself, even if you don't live with your parent(s)
- Your spouse, if you are married
- Your children, if any, if you will provide more than half of their support from 7/1/2023 to 6/30/2024.
- Other children or other people, if they now live with you and you will provide more than half of their support and will continue to provide more than half of their support from 7/1/2023 to 6/30/2024.
DO NOT INCLUDE CHILDREN FOR WHOM A LISTED PARENT PAYS CHILD SUPPORT. DO NOT INCLUDE FOSTER CHILDREN.

Include the name of the college for any household member, who will be enrolled at least half-time in a degree, diploma, or certificate program at a postsecondary educational institution any time between 7/1/2023 and 6/30/2024.

Signatures and Certification

Each person signing the worksheet below certifies that all of the information reported on it is complete and correct and understands that if the Office of Financial Aid has reason to believe any information on this worksheet is inaccurate, they may require additional documentation.
Student Signature

Clear
Date

MonthDayYear
Date
Financial Aid Office Contact Information

Address: ATTN: Financial Aid Office 3240 Fort Rd., Toppenish, WA 98948 | Phone: (509) 865-8502 | Email: financial_aid@heritage.edu
Should be Empty:

	Full Name	Age	Relationship to You	College	Will be Enrolled at Least Half Time
1
2
3
4
5
6
7
8

	Full Name	Age	Relationship to You	College	Will be Enrolled at Least Half Time
1
2
3
4
5
6
7
8

2023-2024 Household Size Verification

Student Information

Dependency Status

Dependent Student Family Information

Signatures and Certification

Independent Student Family Information

Signatures and Certification