2022-23 noncustodial parent css profile waiver request

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If you are unable to obtain a Noncustodial Parent CSS Profile, you may request to waive this requirement. Once the University of Denver has completed its review of your waiver, we will notify you of the outcome. Submission of this form does not guarantee approval. Student First name Student Last name DU ID Number 1. Indicate your biological/adoptive parents’ current marital status below and the year that status began: Separated Year of separation: ________ Divorced Year of divorce: ________ Never married and do not share the same household 2. Provide the information you know about your noncustodial parent. If you aren’t sure, please write “unknown.” a. Parent Name: ___________________________________________ b. Address: _________________________________________________________________ c. Email Address:________________________________________ d. Phone Number: ______________________________ 3. Are there any legal orders that limit your noncustodial parent’s contact with your household? Yes No Not sure 4. Has your noncustodial parent ever paid child support for you? Yes No If yes: Most recent year this was received: ________ Amount paid that year: ____________ Was wage garnishment required? Yes No 5. Have you ever had contact or interaction with your noncustodial parent? Yes No If yes: Date of last exchange: _______________ Typical frequency (e.g., weekly, monthly): ________________________ 2022-23 Noncustodial Parent CSS Profile Waiver Request

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If you are unable to obtain a Noncustodial Parent CSS Profile, you may request to waive this requirement. Once the University of Denver has completed its review of your waiver, we will notify you of the outcome. Submission of this form does not guarantee approval.

Student First name Student Last name DU ID Number

1. Indicate your biological/adoptive parents’ current marital status below and the year that status began:

Separated Year of separation: ________

Divorced Year of divorce: ________

Never married and do not share the same household

2. Provide the information you know about your noncustodial parent. If you aren’t sure, please write“unknown.”

a. Parent Name: ___________________________________________

b. Address: _________________________________________________________________

c. Email Address:________________________________________

d. Phone Number: ______________________________

3. Are there any legal orders that limit your noncustodial parent’s contact with your household?

Yes No Not sure

4. Has your noncustodial parent ever paid child support for you?

Yes No

If yes: Most recent year this was received: ________

Amount paid that year: ____________

Was wage garnishment required? Yes No

5. Have you ever had contact or interaction with your noncustodial parent?

Yes No

If yes: Date of last exchange: _______________

Typical frequency (e.g., weekly, monthly): ________________________

2022-23 Noncustodial Parent CSS Profile Waiver Request

6. Please describe the nature of your relationship with your noncustodial parent below, including a description of the types of interactions that you have. DU will use this information to better understand your family’s situation and will keep this information confidential.

Certification and Signature I certify that the information provided is true and complete to the best of my knowledge.

* Custodial Parent Signature (required) Date

* Student Signature (required) Date

University Hall 255 | 2197 S. University Blvd. | Denver, CO 80208-9403 Code: NCPWAV Ph: 303.871.4020 | Fax: 303.871.2341 | [email protected] | www.du.edu/financialaid