Fafsa Consultation Release Form

FAFSA CONSULTATION RELEASE FORM

Student Information Section

Student Name
(As it Appears on
Social Security Card):
Address:
City, State Zip:
Social Security # :
Date of Birth: / Previous Pin #:
(If applicable)
FSA ID-Username: / 1st Choice: 2nd Choice:
FSA ID-Password: / MUST Include - 8-30 characters, Uppercase Letter, Lowercase Letter, Number, and a Special Character
Security Question 1: / What city were you born in? / Answer:
Security Question 2: / What was your high school mascot? / Answer:
Security Question 3: / What high school did you graduate from? / Answer:
Security Question 4: / What is your favorite color? / Answer:
Important Date: (OPTIONAL)
MM/DD/YYYY (not your birthday or graduation date)
Mobile Phone:
Alternate Phone: / o  *Yes, register my mobile phone for account recovery
(reset password and retrieve username)
*You agree to receive text messages on your mobile phone,
message and data rates may apply
o  No, do not register my mobile phone for account recovery
You may register at any time by managing your FSA ID
E-Mail:
REQUIRED to submit the FAFSA!

Parent 1- Information Section

Parent 1 - Name
(As it Appears on
Social Security Card):
Address:
City, State Zip:
Social Security # :
Date of Birth: / Previous Pin #:
(If applicable)
FSA ID-Username: / 1st Choice: 2nd Choice:
FSA ID-Password: / MUST Include - 8-30 characters, Uppercase Letter, Lowercase Letter, Number, and a Special Character
Security Question 1: / What city were you born in? / Answer:
Security Question 2: / What is/was your high school mascot? / Answer:
Security Question 3: / What high school did you graduate from? / Answer:
Security Question 4: / What is your favorite color? / Answer:
Important Date: (OPTIONAL)
MM/DD/YYYY
(not your birthday)
Mobile Phone:
Alternate Phone: / o  *Yes, register my mobile phone for account recovery
(reset password and retrieve username)
*You agree to receive text messages on your mobile phone,
message and data rates may apply
o  No, do not register my mobile phone for account recovery
You may register at any time by managing your FSA ID
E-Mail:
REQUIRED to submit the FAFSA!

Parent 2-Information Section

Parent 2 - Name
(As it Appears on
Social Security Card):
Address:
City, State Zip:
Social Security # :
Date of Birth: / Previous Pin #:
(If applicable)
FSA ID-Username: / 1st Choice: 2nd Choice:
FSA ID-Password: / MUST Include - 8-30 characters, Uppercase Letter, Lowercase Letter, Number, and a Special Character
Security Question 1: / What city were you born in? / Answer:
Security Question 2: / What is/was your high school mascot? / Answer:
Security Question 3: / What high school did you graduate from? / Answer:
Security Question 4: / What is your favorite color? / Answer:
Important Date: (OPTIONAL)
MM/DD/YYYY
(not your birthday)
Mobile Phone:
Alternate Phone: / o  *Yes, register my mobile phone for account recovery
(reset password and retrieve username)
*You agree to receive text messages on your mobile phone,
message and data rates may apply
o  No, do not register my mobile phone for account recovery
You may register at any time by managing your FSA ID
E-Mail:
REQUIRED to submit the FAFSA!

*You must include stepparent on the FAFSA worksheet if custodial parent is remarried.

This is to certify that you have given the Access Advisor permission to assist you in creating the FSA ID, completing your FAFSA, as well as to update your FAFSA with the current tax year information by using the Data Retrieval Tool (DRT), which allows your FAFSA to be linked to the IRS website.

Student Signature: ______Date: ______

Parent Signature: ______Date: ______