Dependent affidavit form for the EARP tuition waiver

You must submit a dependent affidavit if: 

  • The EARP will be used for a dependent child with a different last name than the employee.
  • The dependent applying for the EARP will be age 24 at any time during the calendar year in which the EARP is being applied. 
  • The dependent applying for the EARP is not listed as a beneficiary on the employee's university benefits (medical, dental, etc.).
  • The EARP will be used for a dependent child of a NAU affiliate.  

Complete the Dependent Affidavit Form