confirmation of citizenship (affidavit)

1

Click here to load reader

Upload: doandang

Post on 14-Feb-2017

213 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Confirmation of Citizenship (Affidavit)

Financial Aid, Student Employment & Military Education Benefits

Mellencamp Hall, Room 162, P.O. Box 469, Milwaukee, WI 53201-0469 Phone: (414) 229-4541 Fax: (414) 229-5699 Email: [email protected]

IMPORTANT: YOU SHOULD SUBMIT THE APPROPRIATE DOCUMENTS AS SOON AS POSSIBLE. INCOMPLETE AND/OR CONFLICTING DOCUMENTS WILL BE RETURNED AND WILL RESULT IN PROCESSING DELAYS AND MAY RESULT IN LESS FINANCIAL ASSISTANCE BEING AVAILABLE. Please note: Students who have been granted Deferred Action for Childhood Arrivals (DACA) are not eligible for federal student aid.

Section A – Student Information (Please print clearly)

STUDENT NAME: STUDENT ID #:

Section B – Citizen Confirmation Preferably financial aid staff should examine original citizenship documentation and make copies. However, if for some reason you are unable to present the documents in person, you may provide the documents via other methods. You must provide readable copies of the documents listed below: 1) Provide a valid (unexpired) photo identification (i.e. Driver’s License or other State-Issued identification).

2) According to your citizenship status, please indicate the document you are submitting. Please submit

only one.

U.S. Citizenship Documentation U.S. Birth Certificate and Social Security Card. Form FS-240 (Report of Birth Abroad of a Citizen of the U.S.), Form FS-545 (Certificate of Birth Foreign Service), or Form DS-1350 (Certificate of Birth). Valid U.S. Passport (For a Non-Citizen National the passport must be stamped Non-Citizen National). Certificate of Citizenship. Certificate of Naturalization.

Eligible Non-Citizen Documentation If you are an Eligible Non-Citizen, review questions 14 (Citizenship Status) and 15 (Alien Registration

Number) on your 2017-18 Free Application for Federal Student Aid (FAFSA) to make sure they are correct. You will need to provide a copy of your original, unexpired, Alien Registration Card.

Section C – Statement of Certification

I certify that I, _________________________________, am the individual signing this statement, and I am (Print student’s full name)

providing a copy of my documents along with a copy of a valid government-issued photo identification card bearing my portrait (or likeness). I certify that the attached documents and government-issued photo identification are the true, exact, and complete copies of the originals issued to me.

______________________________________________________________________________________ Student Signature Date

Confirmation of Citizenship (Affidavit)