University of Rio Grande 2022-2023
Office of Financial Aid
FAFSA Signature Request Please fill in the spaces below: Student’s Legal LAST NAME: _______________________________________________________ Student’s Legal FIRST NAME:________________________________________________________
University of Rio Grande/Rio Grande Community College PO Box 500 Rio Grande, OH 45674-0500
Student’s Social Security Number:____________________________________________________ Best Contact Number: _____________________________________________________________ When submitting your FAFSA or correcting your Student Aid Report (SAR), a signature was inadvertently omitted. The Department of Education will not allow your FAFSA to be processed until the signature is provided. Please note that this information is necessary in order to determine financial aid eligibility and must be returned in a timely manner. Please read the information below and provide your signature, and if you are dependent, the signature of at least one parent. We will correct your FAFSA electronically.
Financial Aid Office
Phone:740-245-7218 Fax: 740-245-7102 Email: finaid@rio.edu
CERTIFICATION STATEMENT: If you are the STUDENT, by signing this form you certify that you (1) will use federal and/or state student financial aid only to pay the cost of attending an institution of higher education, (2) are not in default on a federal student loan or have made satisfactory arrangements to repay it, (3) do not owe money back on a federal student grant or have made satisfactory arrangements to repay it, (4) will notify your school if you default on a federal student loan, and (5) will not receive a Federal Pell Grant for more than one school for the same period of time. If you are the STUDENT or the PARENT (if student is dependent), by signing this application you agree, if asked, to provide information that will verify the accuracy of your completed form. This information may include your U.S. or state income tax forms. Also, you certify that you understand that the Secretary of Education has the authority to verify information reported on the FAFSA application with the Internal Revenue Service and other Federal agencies. If you sign any document related to the federal student aid programs electronically using a Personal Identification Number (PIN), you certify that you are the person identified by the PIN and have not disclosed that PIN to anyone else. If you purposely give false or misleading information, you may be fined $20,000, sent to prison, or both. _____________________________________________ Student signature
_________________________ Date
_____________________________________________ Parent signature (required, if student is dependent)
_________________________ Date
Visit: www.rio.edu for more information