2022-23 noncustodial parent css profile waiver request
TRANSCRIPT
If you are unable to obtain a Noncustodial Parent CSS Profile, you may request to waive this requirement. Once the University of Denver has completed its review of your waiver, we will notify you of the outcome. Submission of this form does not guarantee approval.
Student First name Student Last name DU ID Number
1. Indicate your biological/adoptive parents’ current marital status below and the year that status began:
Separated Year of separation: ________
Divorced Year of divorce: ________
Never married and do not share the same household
2. Provide the information you know about your noncustodial parent. If you aren’t sure, please write“unknown.”
a. Parent Name: ___________________________________________
b. Address: _________________________________________________________________
c. Email Address:________________________________________
d. Phone Number: ______________________________
3. Are there any legal orders that limit your noncustodial parent’s contact with your household?
Yes No Not sure
4. Has your noncustodial parent ever paid child support for you?
Yes No
If yes: Most recent year this was received: ________
Amount paid that year: ____________
Was wage garnishment required? Yes No
5. Have you ever had contact or interaction with your noncustodial parent?
Yes No
If yes: Date of last exchange: _______________
Typical frequency (e.g., weekly, monthly): ________________________
2022-23 Noncustodial Parent CSS Profile Waiver Request
6. Please describe the nature of your relationship with your noncustodial parent below, including a description of the types of interactions that you have. DU will use this information to better understand your family’s situation and will keep this information confidential.
Certification and Signature I certify that the information provided is true and complete to the best of my knowledge.
* Custodial Parent Signature (required) Date
* Student Signature (required) Date
University Hall 255 | 2197 S. University Blvd. | Denver, CO 80208-9403 Code: NCPWAV Ph: 303.871.4020 | Fax: 303.871.2341 | [email protected] | www.du.edu/financialaid