DO NOT LEAVE ANY QUESTIONS UNANASWERED.
YOU MUST “CHECK” A BOX FOR EACH QUESTION.
STEP 4 - PUBLIC ASSISTANCE
Did someone in your parent(s)’ household (listed in Step 2) receive Public Assistance in 2015 and/or 2016?
Check only one box below.
YES, one of the persons listed in Step 2 of this worksheet received Public Assistance in 2015 and/or 2016.
NO, none of the persons listed in Step 2 of this worksheet received Public Assistance.
STEP 5 - SOCIAL SECURITY BENEFITS
Did someone in your parent(s)’ household (listed in Step 2) receive Social Security Benefits in 2015?
Check only one box below.
YES, one of the persons listed in Step 2 of this worksheet received Social Security Benefits in 2015.
(Attach a copy of the 1099-SSA for all family members who received Social Security Benefits.)
NO, none of the persons listed in Step 2 of this worksheet received Social Security Benefits.
STEP 6 - UNTAXED INCOME OR BENEFITS
Did someone in your parent(s)’ household (listed in Step 2) receive untaxed income or Benefits in 2015?
Check only one box below.
YES, one of the persons listed in Step 2 of this worksheet received Untaxed income or Benefits in 2015
such as disability or workers’ compensation. (Attach a statement from the agency benefits are received
from.)
NO, none of the persons listed in Step 2 of this worksheet received any untaxed income or benefits.
STEP 7 - CHILD SUPPORT
Check only one box below for each question.
Did you or your parent(s) listed in Step 2 of this worksheet PAY child support for the year of 2015?
YES (complete table below) NO
Did you or your parent(s) listed in Step 2 of this worksheet RECEIVE child support for the year of 2015?
YES (complete table below) NO
AMOUNT of Child Support
Paid or Received
Name of WHO Child Support Was
Paid or Received To
NAME and AGE of Child
Paying or Receiving Support For
STEP 8 - VERIFYING INCOME INFORMATION
According to federal regulations schools will no longer be able to accept photocopies of tax returns. The best way to verify
income is by using the IRS Data Retrieval Tool when completing or updating your FAFSA on the web. If you do not use this
method when completing or updating your FAFSA you must submit a 2015 IRS Tax Return Transcript. To request an IRS
Tax Return Transcript visit www.irs.gov and use Form 4506-T, or go to the “Tools” section on their website and click on “Get A
Tax Transcript”, or call 800-908-9946. Be sure to only request a Tax Return Transcript, NOT an Account Transcript. After
using the IRS Data Retrieval tool students are advised to not make any changes to either parent(s)/student’s income information
on their FAFSA. Please contact the Financial Aid Office if you have had a change in income that is not reflected on your
FAFSA.