Box 400204, Carruthers Hall, Charlottesville, VA 22904-4204 Telephone: (434) 982-6000, Fax: (434) 92-2025

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Box 400204, Carruthers Hall, Charlottesville, VA 22904-4204 Telephone: (434) 982-6000, Fax: (434) 92 Preview on Page 1

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Student’s University ID or SIS ID in the designated fields at the top of the form.
  3. Next, fill in the Student’s Full Name in the provided space, ensuring you include your first, middle, and last names clearly.
  4. For the MOTHER’S (Stepmother) FILING STATEMENT section, check the box confirming that you have not filed a tax return. Then list any sources of income for 2010 along with their corresponding earnings.
  5. Repeat step 4 for the FATHER’S (Stepfather) FILING STATEMENT section.
  6. Complete the CERTIFICATION STATEMENT by signing and dating it. Ensure all information is accurate to avoid issues with financial aid.

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Student Financial Services (SFS) | UVA Policy.
From the dashboard: Click Financials in the left menu, then Finance Center Choose View Financial Aid
Contact Student Financial Services at (434) 982-6000 or visit their website at for assistance in paying a student charge.
Call us at 434.924. 8718 or 866.320. 9659.
State-Sponsored Indigent Care Program provides free care to patients with income below the Federal Poverty Level and a slide scale discount for patients with incomes less than 200% of the Federal Poverty Level.
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We provide tuition assistance for qualified Virginia households. UVA will cover the cost of tuition, fees, room and board for in-state undergraduates with family incomes of less than $50,000. UVA will cover the cost of tuition and fees to in-state undergraduates with family income of less than $100,000.
UVAPay online portal provides student account access to: Charges Payment Activity: view individual term charges, payments, and overall student account activity.