College Connect Locations SUNO Campus: Miguel Devezin Bashful Administration Bldg, Rm 210 Phone: 504-286-5007 Fax: 504-286-5213 Email: [email protected] SUBR Campus: Carey Williams Stewart Hall, Rm 107 Phone: 225-771-5630 Fax: 225-771-4954 Email: [email protected] Office of Student Financial Aid & Scholarships L.C. Barnes Administration Bldg, Rm A-43 3050 Martin Luther King, Jr. Drive Shreveport, La 71107 Phone: (318) 670-9221 Fax: (318) 670-6313 Email: [email protected] VERIFICATION OF MARITAL SEPARATION 9000 Name: ____________________________ Student ID: __________________ Email address: _________________________________________________ On your application for the Free Application for Federal Student Aid you indicated your marital status was “separated”. In order for us to complete your file, you must provide documentation verifying that you are separated for the purpose of divorce and that you are not receiving support from your spouse (other than child support or alimony). Please provide the document(s) indicated below: 1. A notarized letter from you verifying the date of separation and explanation of financial support expected. 2. A copy of any pre-divorce documents from your attorney or the court, OR a letter from a social agency, such as the Department of Human Services, stating they are aware of your separation, and according to their files, you are considered separated for their programs. 3. A copy of your housing contract showing that you are maintaining a separate household. 4. A copy of your spouse’s housing contract. 5. A copy of your tax return. If filed a joint tax return an explanation from you and your tax accountant of why you continue to file a joint return will be required. Southern University at Shreveport does not discriminate on the basis of race, color, national origin, gender, age or disability. Title IX Coordinator: Ms. Tilisha T. Bryant, Administration Building, Room A-43, (318) 670-9210. Section 504 Coordinator: Ms. Jerushka Ellis, Fine Arts Building, Room C04 D, (318) 670-9473. Revised 03/2016
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