Office of Student Financial Aid and Scholarships

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Office of Student Financial Aid and Scholarships
1714 College Street • Columbia, SC 29208
803-777-8134 • Fax 803-777-7004
Email: uscfaid@sc.edu • www.sc.edu/financialaid
Confirmation of Food Stamp (SNAP) Benefits Received (Student/Spouse, 3SFS)
2016 – 17
__________________________________________
____________________ or ____________________
Student’s Name
USC ID
My VIP ID
We have received your 2016-17 Free Application for Federal Student Aid (FAFSA). We are required to clarify the
receipt of benefits from the Food Stamp (SNAP) program by at least one person in your household during 2014 or 2015.
Please answer the question below and provide appropriate signatures.
Did at least one person in your household receive benefits from the Food Stamp (SNAP) program during 2014 or 2015?

Yes.
Please list the name(s) of all recipient(s) on the lines below.
Name(s) of Recipient(s): _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

No.
By signing below we certify that all information on this form is complete and correct.
_________________________________________________________
____________________________
Student (Handwritten signature required)
Date
_________________________________________________________
____________________________
Spouse (Handwritten signature required)
Date
F 4.47
02/16
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