FA-Parent's Marital Status Confirmation Form

2025-26 Parent's Marital Status Confirmation Form

Financial Aid Office . 902 Herring Ave Wilson, NC 27893 . Phone: (252) 291-1195
Student Name

First NameLast Name
Student ID
Check the appropriate box below and attach the requested documentation.

Married (attach a copy of the marriage certificate.)Remarried (attach a copy of the marriage certificate.)Divorced (attach divorce decree ONLY if divorced three years or less.)Separated (attach a copy of the legal separation papers.)
If married/remarried:
I, please print parents name am married. I am not separated with the intent to divorce.
If divorced:
I, please print parents name , am currently unmarried and have been divorced from my spouse, please print spouse's name, since (date: month/year)month/year
If separated:
I, please print parent's name, andplease print spouse's name, have been separated and living apart with the intent to divorce since (date: month/year) month/year
IF YOU DO NOT HAVE LEGAL SEPARATION PAPERS, YOU SHOULD SUBMIT ONE OF THE FOLLOWING:
- For military and their dependents: A signed letter on letterhead is required from the Family Services Office, Unit Chaplan, or the Unit S-1 Personnel Office.
- For civilians: A signed letter is required from a clergyman, a lawyer, or your employer on letterhead.
- If the above items are unattainable, please attach a signed, notarized (if parent is not appearing in person) statement describing your separation and the cicrumstances preventing you from obtaining these items along with one of the following:
  - a dated Lease/Rental Agreement that lists the names of the people living in the home,
  - a letter from a Shelter Administrator,
  - utility bills from each party from the same month (prior to the FAFSA completion date) showing two different physical addresses, or
  - DSS documentation or qualifying household members used when applying for benefits.
Please upload supporting documentation:

Example: Marriage certificate, divorce certificate, etc.
Cancelof
Certifications and Signatures

I understand that my statement is subject to investigation by the proper authorities.

I certify that the information provided is true and correct.

I authorize Wilson COmmunity College's Financial Aid to make corrections to my original and/or subsequent applications based on the documents that I am now submitting.
Student's Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

2025-26 Parent's Marital Status Confirmation Form