SOCIAL SECURITY NUMBER FORM - Valencia College

2022 ? 2023

SOCIAL SECURITY NUMBER FORM

Please provide the following information so we can continue processing your financial aid application for 2022 ? 2023. We use your Social Security number to verify your identity and retrieve your records. Sections 483 and 484 of the Higher Education Act of 1965, as amended, gives schools the authority to ask you and your parents these questions, and to collect the Social Security numbers.

? Upload this completed and signed form using the Financial Aid Office Secure Document Upload Form,

valenciafasubmit

? Attach a photocopy of your signed social security card and/or your parents' signed social security card, whichever is applicable. ? The Office of Financial Aid Services will compare your FAFSA with the information on this form and with any other required

documents (once received, this takes up to 10 business days).

? If you have questions about verification, visit our Virtual Answer Center or schedule an appointment,

valenciacollege.edu/students/answer-center

A. STUDENT INFORMATION

LAST NAME

FIRST NAME

M.I.

VALENCIA COLLEGE ID (VID)

HOME PHONE (including area code)

SOCIAL SECURITY NUMBER

DATE OF BIRTH

B. PARENT INFORMATION PARENT 1/STEP-PARENT OF DEPENDENT STUDENT (Print):

LAST NAME

FIRST NAME

M.I.

SOCIAL SECURITY NUMBER

DATE OF BIRTH

PARENT 2/STEP-PARENT OF DEPENDENT STUDENT (Print):

LAST NAME

FIRST NAME

M.I.

SOCIAL SECURITY NUMBER

DATE OF BIRTH

C. SIGNATURE AND CERTIFICATION

Each person signing below certifies that all of the information reported is complete and correct. The student and/or one parent whose information was reported on the FAFSA must sign and date. WARNING: If you purposely give false or misleading information, you may be fined, be sentenced to jail, or both.

STUDENT SIGNATURE

DATE

STUDENT PRINT NAME

PARENT/STEP-PARENT SIGNATURE

DATE

PARENT/STEP-PARENT PRINT NAME

INTERNAL USE ONLY: Social Security Number form would satisfy requirement: For Parents: SSNMVR, SSNFVR or SSNPVR, whichever is applicable. For Students: SSNVRF, SSNVER or SSCARD, whichever is applicable.

Upload completed and signed forms using the Financial Aid Office Secure Document Upload Form or return completed and signed forms to the Answer Center/First Stop on your campus or mail to: Valencia College | Office of Financial Aid Services | 1800 S Kirkman Rd | Orlando, FL 32811

?2022 Valencia College | 21FNA003 Revised February 9, 2022

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