Parent Refusal to Sign FAFSA - American Career College

Parent Refusal to Sign FAFSA

PLEASE PRINT CLEARLY

Documentation To Permit Dependent Student To Borrow Unsubsidized Stafford Loan

Student's Name

Student's ID #

Aid Year

Mother's Name

Father's Name

By signing below, I certify that:

1. I am the lawful parent of the above-named student; and 2. I do not and will not provide any financial support for this student; and 3. Financial support ended on _____________; and 4. This student does not live with me; and 5. I refuse to provide financial information and sign my child's Free Application for Federal Student Aid (FAFSA).

Mother's Signature

Date

Father's Signature

Date

By signing below, I certify that:

1. The Parents listed above are my lawful parents; and 2. Neither of my parents provides or will provide any financial support for me; and 3. I do not live with either parent; and 4. My parents refuse to provide financial information and sign my Free Application for Federal Student Aid (FAFSA).

Student's Signature

Date

FOR OFFICE USE ONLY

Approved Denied Reason for Denial FA Manager Name

Signature

Date

ACC-FORM-PARENTREFULSALTOSIGNFAFSA-FA-ALL-04012015

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