1 2018 2019 Dependent Student and Parent Verification Form _____. Student NAME:_____ OSU ID: _____. Complete each of the following THREE (3) SECTIONS to determine the people in your Parent 's household 1. Student INFORMATION. Student 's Does the Student plan to enroll at least half-time Institution Date of Birth between July 1, 2018 June 30, 2019: The Ohio State University YES NO. 2. Parent INFORMATION. Include the Parent (s) who provide more than half of your support. You should include your parents (including stepparent). even if you don't live with your Parent . If a Parent is not living in the household due to separation or divorce, do not include. Full Name Relationship to Student Date of Birth 3.
2 FAMILY INFORMATION. Include: The parents' other children if the parents will provide more than half of the children's support from July 1, 2018. through June 30, 2019, or if the children would be required to provide parental information if they were completing a FAFSA for 2018-2019. Include children who meet either of these standards, even if a child does not live with the parents. Other people if they now live with the parents and the parents provide more than half of the other person's support, and will continue to provide more than half of that person's support through June 30, 2019. Include: Number in College: Indicate in the chart below the name of the college for any family member who will be enrolled at least half-time in a degree, diploma or certificate program at an eligible postsecondary educational institution any time between July 1, 2018 - June 30, 2019.
3 Relationship Enrolled at Full Name Date of Birth Institution to Student least half-time YES NO. YES NO. YES NO. YES NO. If more space is needed, attach a separate page with the Student 's name and OSU ID number. SIGNATURES. By signing you are certifying that all the information reported on this form is complete and correct. PLEASE DO NOT SIGN ELECTRONICALLY. Parent Signature Date Student Signature Date To return this form: Students may upload all forms and documents to the Secure Document Uploader: F9 PVER. Fax to: 614-292-9264 Mail to: Buckeye Link, Box 183029 Columbus OH 43218-3029 | Questions: 614-292-0300. Note: Do not submit this form or any supporting documents via email.