Get Unmarried Student Verification Form - Www4 Esu

Completing the Unmarried Student Verification Form is an important step for ensuring eligibility for benefits associated with the Pennsylvania Faculty Health and Welfare Fund. This guide provides you with clear and comprehensive instructions for filling out the form accurately and efficiently.

Follow the steps to accurately complete the verification form.

1. Click ‘Get Form’ button to access the Unmarried Student Verification Form and open it in your preferred online editing tool.
2. Begin by entering the name of the student in the designated field. Ensure that the spelling is correct, as this is crucial for identifying the student.
3. Provide the student’s birthdate in the specified format. This information is necessary for verifying the age eligibility.
4. Indicate the name of the school where the student is enrolled. Accurate school information is essential for confirming enrollment status.
5. Confirm whether the student is currently or will be enrolled full-time by marking 'Yes' or 'No' in the appropriate checkbox.
6. Fill in the ‘Number of Credits’ field, which reflects the student’s current or expected course load.
7. Complete the ‘Date of School Term(s)’ section by entering the starting and ending dates of the relevant academic term.
8. Input the ‘Date of Expected Graduation’ to provide the anticipated conclusion of the student’s studies.
9. Enter the member or parent’s name associated with the student, as this identifies the person eligible for the support.
10. Specify the university attended by the member or parent, which aids in verifying their affiliation with the educational institution.
11. Provide the complete address of the member or parent, ensuring that all required fields are filled out accurately.
12. Include the telephone number for direct communication, which may be necessary for any follow-up regarding the form.
13. After verifying that all information is correct, sign and date the certification section to confirm the authenticity of the submitted data.
14. Finalize the process by saving changes, then you can download, print, or share the completed form as needed.

Complete the Unmarried Student Verification Form online today to ensure your eligibility for benefits.