Get Pba Dependent Student Certification Form - Nycpba

The PBA dependent student certification form is essential for individuals wanting to certify their dependent's eligibility for benefits. This user-friendly guide will walk you through the form's components step-by-step to ensure a smooth online completion.

Follow the steps to complete the certification form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the member’s information. This includes the tax ID, email address, telephone number, last name, first name, middle name, and address details (city, state, and zip). Ensure each field is completed accurately.
3. Enter the dependent student's information. Specify the dependent’s social security number, last name, first name, middle name, date of birth, and the name of the school. It is crucial for determining the dependent’s eligibility.
4. Certify the dependent's eligibility by indicating that they meet all three requirements. Ensure to confirm that the dependent is unmarried, that you supply at least 50% of their support, and that they are enrolled as a full-time undergraduate student at an accredited institution.
5. Sign and date the form in the designated section to validate the information provided.
6. If applicable, move to Section Two to be completed by an authorized person in the registrar's office. Provide confirmation of the student’s full-time enrollment status and the accreditation status of the institution.
7. Lastly, fill in the anticipated graduation date, registrar’s telephone number, and include the authorized signature and title. Don’t forget to affix the institution's seal or stamp where required.
8. Once all sections are filled out, review the form for accuracy. You may then save any changes, download it, print, or share the form as needed.

Complete your documents online today for a hassle-free experience.