Office of Student Financial Assistance
SFA Box 13052
Nacogdoches, TX 75962-3052
(936) 468-2403
FAX (936) 468-1048
finaid@sfasu.edu
2015-2016 Verification of Child Support Paid
STUDENT’S NAME_________________________________ID/SS#_______________________________
If you or your parent(s) indicated that child support was paid on the FAFSA, please complete the
information below:
Name of Child for
Whom Support was Paid
Age of Child for
Whom Support
was Paid
Name of Person Who
Paid Support
Name of Person to
Whom Support was Paid
Amount of Child Support
Paid Annually
Note: If we have reason to believe that the information regarding child support paid is not accurate, we may
require additional documentation such as:



A copy of the separation agreement or divorce decree that shows the amount of child support to be
provided;
A statement from the individual receiving the child support certifying the amount of child support
received; or
Copies of the child support payment checks or money order receipts.
Student Signature__________________________________________ Date__________________________________
Parent Signature____________________________________ Date__________________________________
(if dependent, one parent must sign)
___________________________________________________________________________________________________________
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