2019-20
CA Dream Act Application
Independent Verification Worksheet
Feather River College Financial Aid Office 570 Golden Eagle Avenue, Quincy CA 95971
Phone (530) 283-0202 ext 603 Fax (530) 283-4659 Email: financialaid@frc.edu
www.frc.edu/financialaid
Page
1
Your California Dream Act Application (CADAA) has been selected for a process called verification. Please complete all parts of this worksheet and
return to the Financial Aid Office. Notice: incomplete forms may delay processing.
B. Household Information List the members in your household. Attach an additional sheet if necessary.
Please include: yourself and your spouse (if legally married), your children/step-children, if you will provide more than half of their support between
July 1, 2019 and June 30, 2020, even if they do not live with you, and other people if they now live with you and you provide more than half of their
support and you will continue to provide more than half of their support between July 1, 2019 and June 30, 2020.
Full Name
Relationship to
Student
Age
Enrolled in College
at least half-time
(check one)
College
Self
Yes
Feather River College
Yes
Yes
Yes
Yes
Yes
C. Federal Tax Return Filing Status Student (and Spouse, if married). Please select the appropriate response.
I filed my 2017 return. Submit: 2017 IRS Tax Return Transcript. If married and you filed a joint 2017 IRS Income Tax Return,
Submit: 2017 IRS Tax Return Transcript. If married and you and your spouse filed separate 2017 IRS Income Tax Returns, Submit: 2017
IRS Tax Return Transcripts for both you (the student) and your spouse.
I amended my taxes after originally filing my 2017 return and will submit:
o 2017 IRS Tax Return Transcript
o 2017 Signed IRS 1040X form
If married and you filed separate 2017 IRS Income Tax Returns, you must submit Tax Return Transcripts and Signed IRS
1040X form for both you (the student) and your spouse.
I will not and am not required to file a federal tax return. I was not employed and earned no income from work in 2017.
Submit: 2017 IRS Verification of Non-filing Letter*
I will not and am not required to file a federal tax return. In 2017, I earned $_____________ from the source(s) listed below:
Submit: 2017 IRS Verification of Non-filing Letter*
Employer’s Name
2017 Earned
Amount
IRS W-2 Attached
Yes
No
Yes
No
Yes
No
Yes
No
*IRS Verification of Non-Filing Letters can be requested by checking box 7 and 8 (if no W-2s provided) on IRS Form 4506-T. Notice: 2017 IRS Verification of Non-
Filing Letters must be dated on or after October 1, 2018.
D. Certification and Signatures Each person signing this worksheet certifies that all of the information reported on it is complete
and correct. The student whose information was reported on the California Dream Act Application (CADAA) must sign and date.
Warning! If you purposely give false or misleading information you may be fined, sentenced to jail, or both.
Student Signature: _____________________________________________________ Date____________________
Spouse Signature: ______________________________________________________ Date____________________
(optional)
This worksheet must be signed and dated to be valid. Electronic and/or digital signatures are not valid.
A. Student Information
Student’s Name: ________________________________________________ FRC ID: ________________________
Clear Form
IRS Data Retrieval Tool
and Tax Return Transcripts Instructions
How to request your 2017 Tax Return Transcripts from the IRS
From the IRS website, you can request a tax return transcript through their Get Transcript Online or Get Transcript by Mail options. You can also
contact the IRS by phone to request your tax return transcript. Note: the method you used to file your return and whether you have a refund or balance
due, affects your current year transcript availability.
Get Transcript Online
Get Transcript by Mail
Get Transcript by Phone
To use this service you need:
Full Name;
Email;
Date of birth;
Your Social Security Number or Individual Tax
Identification Number (ITIN);
Tax Filing Status;
Current address;
Personal account number from a credit card,
mortgage, home equity loan, home equity line of
credit or car loan and,
Mobile phone with your name on the account.
Note: if account setup is successful you will be able
to download and/or print your tax return transcript.
To use this service you need:
Your Social Security Number or Individual
Tax Identification Number (ITIN);
Date of birth and,
Mailing address from your latest tax return
Note: transcripts generally arrive in 5-10
calendar days to the address the IRS has on file
for you. The IRS will never send an email
requesting that you obtain or access your
transcripts. If you receive such a notice, please
forward to the IRS fraud group at
phishing@irs.gov.
Call (800) 908-9946 and follow the
telephone prompts.
Notice: Be sure to request an IRS Tax Return Transcript not an IRS Tax Account Transcript.
How to request an IRS Verification of Non-Filing Letter for 2017
Go to the IRS website at https://www.irs.gov/ and click on Search Forms & Instructions. On this page click to select Form 4506-T and
follow the instructions on the form. IRS Verification of Non-Filing Letters can be requested by checking box 7 and 8 (if no W-2s
provided) on IRS Form 4506-T. Notice: 2017 IRS Verification of Non-Filing Letters must be dated on or after October 1, 2018.