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Verification Response
  Verify Enrollment Transaction History  
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Congratulations!  We have successfully completed your verification request.

Transaction ID:  000000001  Date Requested: 06/29/2008 08:50 EST 
Requested By: JENNIFER MILLER   Date Notified: 06/29/2008 08:50 EST 
  HEALTH INSURER ABC   
Status: Confirmed -- Currently Enrolled 
Fee: $2.00


INFORMATION YOU PROVIDED
Subject Name:  
JANE  DOE 
First Name Middle Name Last Name
Name Used When Attending School:
(if different from above)
 
     
First Name Middle Name Last Name
Date of Birth:  
10/06/1983 
mm/dd/yyyy
School Name:   HOMETOWN UNIVERSITY 



INFORMATION VERIFIED
Name:   JANE S DOE
Address:   1234 MAIN STREET
HERNDON, VA 20171-1234
 
The latest records reported by HOMETOWN UNIVERSITY were certified on 06/04/2008 for the term beginning on 01/26/2008 and ending on 05/21/2008. This information indicates that the student is currently enrolled.
 
Certified by
School
Enrollment Status Term Begin Term End School Name
06/04/2008 Full Time 01/26/2008 05/21/2008 HOMETOWN UNIVERSITY
01/09/2008 Full Time 08/25/2007 12/19/2007 HOMETOWN UNIVERSITY
06/06/2007 Full Time 01/31/2007 05/23/2007 HOMETOWN UNIVERSITY
 
This enrollment history reflects all enrollment for the past 18 months. We are unable to confirm attendance prior to this time.


Click here for a printer friendly official “Enrollment Verification Certificate” version that you can attach to forms, such as health insurance, credit card applications, child support, housing authorities, etc.

All information verified was obtained directly and exclusively from the individual’s educational institution. The Clearinghouse disclaims any responsibility or liability for errors or omissions, including direct, indirect, incidental, special or consequential damages based in contract, tort or any other cause of action, resulting from the use of information supplied by the educational institution and provided by the Clearinghouse. The Clearinghouse also does not verify the accuracy or correctness of any information provided by the requestor.