2023-2024 Form 52 Verification of Citizenship

2023-2024 Form 52 Verification of Citizenship
Campus Location*
Your citizenship status and/or date of birth could not be confirmed by the Social Security Administration. The federal government requires us to verify your status as a citizen or eligible non-citizen of the United States before processing your application further.

Return this form along with appropriate documentation to avoid delays in receiving your financial aid.
A. Student Information
Name

First NameLast Name
Student ID
Email
example@example.com
Phone Number
Please enter a valid phone number.
B. Citizenship Status Selection
Please select one of the following options:
I have attached a copy of my U.S. birth certificate, Certificate of Naturalization, U.S. Passport, Certificate of Citizenship (N-560 or N-561), a copy of Form FS-240 (Consular Report of Birth Abroad), FS-545 (Certificate of birth issued by a foreign service post), or DS-1350 (Certification of Report of Birth) to prove my citizenship.

Sample documents you may upload:
I understand that I must correct the "Citizenship Status" question on my FAFSA (www.fafsa.gov) and provide one of the following:
- U.S. permanent resident. Documentation: Alien Registration Receipt Card (I-551 or I-551C) or passport stamped "Processed for I-551".
- Other eligibile noncitizen. Documentation: Arrival-Departure Record (I-94) from the U.S. Immigration and Naturalization Service showing any one of the following designations: (a) "Refugee", (b) "Asylum Granted", (c) "Indefinite Parole" and/or "Humanitarian Parole" or (d) "Cuban/Haitian Entrant"
- Citizen of the Marshall Islands Federated States of Micronesia or Palau. Documentation: Legal document (passport, birth certificate, etc.) which identifies you as a legal resident of the area.
Sample documents you may upload:
C. Document Upload
Please upload one of the documents listed above.

Cancelof
D. Student Signature
Signature

Clear
Date

MonthDayYear
Date
Have questions about your Financial Aid?

Contact the Financial Aid Office

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

2023-2024 Form 52 Verification of Citizenship

A. Student Information

B. Citizenship Status Selection

C. Document Upload

D. Student Signature