OFFICE OF FINANCIAL AID
4525 Education Park Drive, Schnecksville, PA 18078
P 610.799.1133| F 610.799.1798
E finaid@mymail.lccc.edu
OFFICE USE: RRAAREQ Code - VERFI
2019-20 Independent Verification Worksheet
Your 2019-20 Free Application for Federal student Aid (FAFSA) was selected for the verification review process. This
requires us to compare the FAFSA information with information reported on this institutional verification document
and any other required documents. If there are differences, your FAFSA information must be corrected.
You and your spouse (if applicable) whose information was reported on the FAFSA must complete and sign this
institutional verification document, attach any other required documents and submit this form and the other
required documents to the Office of Financial Aid at Lehigh Carbon Community College within 15 days. Failure to
complete and return this information will result in a delay of the processing of your financial aid.
Student Name ID#
Household Information:
L
ist all people within your household from July 1, 2019, through June 30, 2020. This should include:
√ Yourself (the student)
√ The student’s spouse if the student is married.
√ T
he student’s or spouse’s children if the student or spouse will provide more than half of the children’s support from
July 1, 2019 through June 30, 2020 even if the children do not live with the student.
√ Other people that live with the student and the student or spouse provide more than half of the other people’s
support and will continue to provide more than half of their support through June 30, 2020.
√ For any household member, excluding the student who will be enrolled at least half time in a degree or certificate
program at an eligible postsecondary educational institution any time between July 1, 2019 and June 30, 2020, include
the name of the college.
Name of College/Degree program
(if at least half-time during 2018-2019)
Lehigh Carbon Community College
Student: Did you file a 2017 U.S. Federal Tax Return?
If Yes:
Choose One:
I used the IRS Data Retrieval Tool when I filed my FAFSA.
I have a signed copy of my 2017 Tax Return and will submit now.
□ I do not have a copy of my 2017 Tax Return and have ordered my 2017 Tax Return Transcript from the
IRS and will submit it when it is received.
