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DEPENDENT FEE WAIVER CERTIFICATION

DEPENDENT FEE WAIVER CERTIFICATION 2026

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The document is a certification form for employees at Cal Poly Pomona to transfer their fee waiver eligibility to their dependents, including spouses, domestic partners, or children. It outlines the necessary employee and dependent information, eligibility criteria for dependents, enrollment details, potential tax implications of using the waiver for graduate coursework, and instructions for submission. The form must be completed and submitted to HR for approval.

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Click ‘Get Form’ to open the DEPENDENT FEE WAIVER CERTIFICATION in the editor.
Begin by filling out the EMPLOYEE INFORMATION section. Enter your last name, first name, job title, department, and on-campus telephone number. Ensure that your employment status is accurately selected as either probationary/permanent or temporary.
Next, provide your Bronco number and email address. This information is crucial for processing your waiver request.
In the WAIVER TRANSFER section, input your dependent’s name and relationship to you (spouse, domestic partner, or dependent child). Include the child’s birthdate if applicable.
Specify the major/program of study and select whether it is undergraduate or graduate/credential. Indicate the term(s) of enrollment for which you are requesting a waiver.
Complete the IMPUTED TAX section by acknowledging potential tax consequences if applicable. Finally, sign and date the EMPLOYEE CERTIFICATION & SIGNATURE section before submitting your form.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (38 Votes)
2019	4.3 Satisfied (179 Votes)

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What is a dependent fee waiver?

The Dependent Fee Waiver Program allows eligible employees to transfer their fee waiver benefit to an eligible spouse, dependent child, or domestic partner.

What are the qualifications for a fee waiver?

You qualify for a fee waiver if: You receive public benefits. Your household income, before taxes, is below a set amount. You cant meet your households basic needs and pay the filing fees.

Can dependents apply for a fee waiver?

You may be eligible for a fee waiver if: youre a partner, parent or dependant child of someone who has a family visa or has permission to stay in the UK on the basis of their private life.

What is the college fee waiver for dependents in California?

The College Fee Waiver for Veteran Dependents benefit waives mandatory system-wide tuition and fees at any State of California Community College, California State University, or University of California campus. This program does not cover the expense of books, parking or room and board.

What is a dependent waiver?

A dependent waiver is required when an applicant is married with more than two dependents under the age of 18 or when an applicant is unmarried and has custody of any dependents under the age of 18.

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What is the purpose of a fee waiver?

Fee Exemption vs. Fee Waiver A fee waiver means that we require a fee for a form but waive this requirement for an individual requestor because of their inability to pay the fee. If you request a fee waiver and show us that you are eligible, then you will not need to pay the filing fee for the associated form.

DEPENDENT FEE WAIVER CERTIFICATION 2026

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