Yuba Community College District
Financial Aid Offices
2019-2020 Dependent Verification Instructions V5
Your financial aid application was selected for a process called “verification” by the Department of Education. The Financial Aid
Office is required by the federal government to verify the information you provided on your financial aid application (FAFSA) is
correct. Your financial aid application cannot be processed until all requested information is received. Any required
corrections may delay the processing of your financial aid awards. The instructions below apply to the student and parent(s).
WHAT YOU NEED TO DO:
1. Complete (in ink) all sections of the Dependent Aggregate Verification Group Worksheet, sign and date it.
2. Submit all required forms and documents to the Financial Aid Office at the campus you are attending as soon as possible.
The verification process can take up to several weeks to complete. Check your YCCD student e-mail (@go.yccd.edu) frequently
because we will contact you through your student e-mail if there are problems or we need additional information after
we review your file.
3. Provide proof of income earned or benefits received in 2017 for student and parent(s). Refer to the chart below to
determine which income is required to be verified and what documentation you must submit to the Financial Aid Office.
FILED OR WILL FILE A 2017 FEDERAL INCOME TAX RETURN
SUBMIT THE FOLLOWING DOCUMENTATION:
If you and/or your parent(s) filed a 2017 IRS Income Tax Return and
used the IRS Data Retrieval Tool to transfer the 2017 IRS income tax
return information into your FAFSA and
did not make any changes to the transferred information
You are not required to submit a 2017 Federal
Tax Return Transcript
Note: You may be required to provide additional
documentation if we have reason to believe the
income information is inaccurate.
If you and/or your parent(s) filed or will file a 2017 IRS Income Tax
Return and
used the IRS Data Retrieval Tool to transfer the 2017 IRS income tax
return information into your FAFSA and changed any of the fields
containing transferred information or
did not use the IRS Data Retrieval Tool to transfer the 2017 IRS income
tax return information into your FAFSA
You are required to submit a 2017 Federal Tax
Return Transcript. See #4 for instructions.
Note: Due to new federal financial aid regulations,
photocopies of IRS Income Tax Returns can no longer
be accepted to verify income.
If your parent(s) filed separate 2017 IRS Income Tax Returns
You are required to submit a 2017 Federal Tax
Return Transcript for each of your parent(s).
See #4 for instructions.
Note: Due to new federal financial aid regulations,
photocopies of IRS Income Tax Returns can no longer
be accepted to verify income.
If you or your parent(s) filed an amended IRS Income Tax. An
amended return is one you file if you made a mistake on your original
return and you have to amend or correct it.
You are required to submit a 2017 IRS Income
Tax Return Transcript, and
A signed copy of the 2017 IRS Form 1040X that
was filed with the IRS showing the corrections
If you or your parents filed a 2017 IRS Income Tax Return and are
Victims of IRS Tax-Identity Theft
Note: May obtain a copy of a TRDBV Transcript by calling the IRS’s Identity
Protection Specialized Unit at 1-800-908-4490
You are required to submit a Tax Return
DataBase (TRDBV) Transcript
A Statement signed and dated by the taxpayer
indicating you are a victim of tax-related identity
theft and the IRS is aware
Yuba College
2088 North Beale Road
Marysville, CA 95901
530-749-7999
Woodland Community College
2300 East Gibson Road
Woodland, CA 95776
530-661-5725
Lake County Campus
15880 Dam Road Extension
Clearlake, CA 95422
707-995-7923
DID NOT OR WILL NOT FILE A 2017 FEDERAL INCOME TAX RETURN
If you and/or your parent(s) worked in 2017, but did not file a 2017
Federal Income Tax Return and
are not required to file a 2017 Federal Income Tax Return
If you and/or your parent(s) were not employed and had no income
earned from work in 2017 and
are not required to file a 2017 Federal Income Tax Return
OTHER
Identity/Statement of Educational Purpose
High School Completion Status
4. Tax filers can request an IRS Tax Return Transcript, free of charge, from the IRS in one of three ways:
A. Request an IRS Tax Transcript or Verification of Non-Filing Online (VONF) at www.irs.gov
Under TOOLS: Click on “Get My Tax Record” Online
Taxpayer must have access to valid email address,
A text-enabled phone, (not pay-as-you-go) and the phone must be in the taxpayer’s name
Certain financial account numbers (such as a credit card number and/or account number for a home
mortgage or car loan). This verifies identity only the card will not be charged.
The IRS will send a confirmation code via email or text to finalize the “Get Transcript Online”
registration.
Select “Get Started” and proceed to enter personal information
To request a Tax Return Transcript or Verification of Non-Filing (VONF) be mailed to you:
Under TOOLS: Click on “Get My Tax Record” Mail
Select “Tax Return Transcript”
Enter your personal demographics and include the address from your 2017 Federal Tax Return. When
asked, Select Return Transcript for tax year 2017. DO NOT select the Account Transcript! OR
Complete IRS Form 4506-T available at www.irs.gov for a Tax Return Transcript or VONF
Mail or Fax completed form to the address/fax number listed on form
B. Order an IRS Tax Return Transcript by phone - Call IRS at 1-800-908-9946
Select Option 2 to request a Tax Return Transcript and follow the prompts to complete your request
5. The Financial Aid Office no longer mails award letters. Once your verification is completed, your financial aid award(s) will
be available on WebAdvisor through the Portal at http://mycampus.yccd.edu/. All awards are contingent upon available
funding and your meeting all student eligibility requirements for Federal, State and Institutional financial aid programs.
YCCD reserves the right to modify your awards at any time. A revised award letter will be posted if an award is modified.
The Financial Aid Office reviews your enrollment status, satisfactory academic progress (SAP) and other eligibility criteria and
will authorize a payment if you are eligible. The amounts listed on your financial aid award letter reflect the awards for a full-
time student. The amount you receive may be less because it is based on the number of units you are actively enrolled in
when the disbursements are processed.
REV 9/14/17
2019-2020 Dependent Verification Worksheet
Aggregate Group V5
A. STUDENT INFORMATION
____________________________________________________________ ___________________________________________
Last Name First Name M.I. Social Security Number
____________________________________________________________ ___________________________________________
Mailing Address (include apt. no.) Date of Birth
____________________________________________________________ ___________________________________________
City State Zip Code Phone Number (Include Area Code)
B. FAMILY/HOUSEHOLD INFORMATION (Student and Parent)
Household Members
Age
Read instructions in items 1 through 4 and complete the table below.
1. List the people who live in your household. Include the following:
Yourself
Your parent(s) even if you don’t live with parent(s). This includes a
stepparent.
Your parents’ other children if your parent(s) will provide more than 50% of
their support from July 1, 2019 through June 30, 2020.
Other dependents if they now live with your parent(s) and your parent(s)
provide more than 50% of their support and will continue to provide more
than 50% of their support through June 30, 2020.
2. Write the date of birth for each family member in
the chart below.
Relationship
3. Write the relationship of each family member to
the student in the chart below.
College
4. Include the name of the college for any household
member who will be enrolled in a degree or
certificate program at least half-time between
July 1, 2019 and June 30, 2020.
Full Name (Print)
Date of Birth
Relationship
College Attending
In 2019-20
# of Units
Enrolled In
Self
5. What is your current housing status? I live with my parent(s) I live off campus
If more space is required, attach a separate page with the student’s name and ID number at the top.
C. INCOME INFORMATION (Student and Parent)
1. TAX RETURN NON-FILERS
Page 1 REV 3/14/17 Dependent V5
Check the box that applies to the student and parent(s).
Submit the following required documents:
Student
Parent
I/we were not employed and had no income earned from
work in 2017 and are not required to file a 2017 Federal
Income Tax Return.
2017 Wage and Tax Statement
Verification of Non-filing (VONF) dated on or
after October 1, 2018.
Note: See Instructions above
Student
Parent
I/we worked in 2017, but did not file and are not required
to file a 2017 Federal Income Tax Return.
2017 W-2 Form(s)
Verification of Non-Filing(VONF) dated on or
after October 1, 2018
Office Use Only:
DATE Received:
Student Name (Print): ___________________________________________ Student ID#: _______________________________
2. TAX RETURN FILERS
Check the box that applies to the student and parent(s).
Submit the following required documents:
Student
Parent
If you and/or your parent(s) filed a 2017 Federal Income Tax
Return and used the IRS Data Retrieval Tool to transfer my/our
2017 IRS income tax return information into the student’s
FAFSA. I/we did not make any changes to the transferred
information.
No further documentation is required if the
imported information was not changed on the
FAFSA.
Note: We may require you to provide additional
documentation if we have reason to believe the
information is inaccurate.
Student
Parent
If you and/or your parent(s) filed a 2017 Federal Income Tax
Return and did not use the IRS Data Retrieval Tool to transfer
my/our 2017 IRS income tax return information into my FAFSA
or changed information that was transferred from the IRS.
2017 Federal Tax Return Transcript
Parent
My Parents filed separate 2017 Federal Income Tax Returns.
2017 Federal Tax Return Transcripts for each
parent
Student
Parent
If you and/or your parent(s) filed an amended 2017 Federal
Income Tax Return. An amended return is one you file if you
made a mistake on your original return and you have to amend
or correct it.
2017 Federal Tax Return Transcript
2017 1040X Signed Copy
Student
Parent
If you or your parent(s) filed a 2017 IRS Income Tax Return and
are Victims of IRS Tax-Related Identity Theft
A Tax Return Data Base View (TRDBV)
transcript must be submitted from the IRS,
and Signed Statement
3. VERIFICATION OF INCOME INFORMATION TAX RETURN NON-FILERS ONLY
List below the name of the person who earned the income, the names of all employers, the amount earned from each employer
in 2017, and whether an IRS W-2 Form is provided. Provide copies of all 2017 IRS W-2 Form(s) issued to you by your employer(s).
List every employer even if the employer did not issue an IRS W-2 Form.
Name of Person Who Earned
the Income (Print)
Employer’s Name
Total 2017
Amount Earned
IRS W-2 Form
Provided?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
D. IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE (Student)
Please read and complete the Identity and Statement of Educational Purpose on page 4 or 5 of this form. You must complete one
of two options. With either option, you must provide a copy of a valid government-issued photo identification card with the form.
This can include but is not limited to a driver’s license, other state-issued ID, or passport.
Option 1: You can sign the form in the presence of a Financial Aid staff member.
Option 2: Allows the student to sign the form before a notary public.
Page 2 REV 9/14/17 Dependent V5
Student Name (Print): ___________________________________________ Student ID#: _______________________________
E. HIGH SCHOOL COMPLETION STATUS (Student)
Provide one of the following documents that indicate your high school completion status when the student will begin college in
2019-2020. A student who is unable to obtain the documentation listed below must contact the Financial Aid Office.
High School Diploma
A copy of the student’s high school diploma.
A copy of the student’s final official high school transcript that shows the date when the diploma was awarded.
A copy of DD Form 214 that indicates the student is a high school graduate or equivalent
Recognized Equivalent of a High School Diploma
A copy of the student’s General Educational Development (GED) certificate.
An official GED transcript that indicates the student passed the exam.
A state certificate or transcript that the State recognizes as the equivalent of a high school diploma (HiSET, TASC, or other state-
authorized examination).
A copy of the “secondary school leaving certificate” or other similar document for students who completed secondary education in a
foreign country.
An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit
toward a bachelor’s degree.
Homeschool
For a homeschooled student from a state where state law requires the student to obtain a secondary school completion credential for
homeschool (other than a high school diploma or its recognized equivalent), a copy of that credential.
For a homeschooled student from a state where state law does not require the student to obtain a secondary school completion
credential for homeschool (other than a high school diploma or its recognized equivalent) a transcript or equivalent, signed by the
student’s parent or guardian, that lists the secondary school courses the student completed and includes a statement that the student
successfully completed a secondary school education in a homeschool setting.
F. CERTIFICATION AND SIGNATURE (Student and Parent)
Each person signing this worksheet certifies that all the information
provided is true and complete to the best of their knowledge. Parent
signature is required.
_________________________________________________________ _________________________________________________________
Student Signature Date Parent Signature Date
FINANCIAL AID OFFICE USE ONLY
Date Awarded/FA Tech: ___________________________________________ ISIR: _________________ EFC: ___________________________
Comments:
Page 3 REV 9/14/17 Dependent V5
WARNING: If you purposely give false or misleading information on
this worksheet, you may be fined, be sentenced to jail, or both.
Yuba Community College District
Financial Aid Offices
Identity and Statement of Educational Purpose
Student Name (Print): ________________________________________________ Student ID#: __________________________________
As required by the Department of Education, you must complete either option 1 at the Financial Aid Office at the campus you attend or option 2
with a Notary Public. With either option, you must provide a copy of a valid government-issued photo identification card with this form.
A. OPTION #1
The student must appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her identity by presenting a valid
government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The institution will
maintain a copy of the student’s photo ID that is annotated by the institution with the date it was received and reviewed and the name of the
official at the institution authorized to collect the student’s ID.
In addition, the student must sign, in the presence of the institutional official, the following English or Spanish statement:
STATEMENT OF EDUCATIONAL PURPOSE
I certify that I, ______________________________________________________________, am the individual signing this Statement of Educational
(Print Student’s Name)
Purpose and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending
YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE for 2019-2020.
DECLARACIÓN DE PROPÓSITO EDUCATIVO
Certifico que yo, ___________________________________________________________, soy el individuo que firma esta Declaración de Finalidad
(Imprimir Nombre del Estudiante)
Educativa y que la ayuda financiera federal estudiantil que yo pueda recibir, sólo será utilizada para fines educativos y para pagar el costo de asistir
a YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE para 2019-2020.
B. CERTIFICATION AND SIGNATURE
Each person signing this worksheet certifies that all the
information reported is complete and correct.
_______________________________________________________________________ ______________________________________________
Student Signature / Firma de Estudiante Date / Fecha Student’s ID Number / Número de Identificación del Estudiante
FINANCIAL AID OFFICE USE ONLY:
_______________________________________________________________________ ______________________________________________
Financial Aid Representative Signature Date Type of Valid ID
Page 4 REV 9/14/17 Dependent V5
Yuba College
2088 North Beale Road
Marysville, CA 95901
530-749-7999
Woodland Community College
2300 East Gibson Road
Woodland, CA 95776
530-661-5725
Lake County Campus
15880 Dam Road Extension
Clearlake, CA 95422
707-995-7923
WARNING: If you purposely give false or misleading information on
this worksheet, you may be fined, be sentenced to jail, or both.
Yuba Community College District
Financial Aid Offices
Identity and Statement of Educational Purpose
Student Name (Print): ________________________________________________ Student ID#: __________________________________
A. OPTION #2
If the student is unable to appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her identity, the student must
provide the following:
(a) A copy of the valid government-issued photo identification (ID) that is acknowledged in the notary statement below, such as but not
limited to a driver’s license, other state-issued ID, or passport; and
(b) The original notarized Statement of Educational Purpose (in English or Spanish) provided below.
STATEMENT OF EDUCATIONAL PURPOSE
I certify that I, __________________________________________________________, am the individual signing this Statement of Educational
(Print Student’s Name)
Purpose and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending
YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE for 2019-2020.
DECLARACIÓN DE PROPÓSITO EDUCATIVO
Certifico que yo, _______________________________________________________, soy el individuo que firma esta Declaración de Finalidad
(Imprimir Nombre del Estudiante)
Educativa y que la ayuda financiera federal estudiantil que yo pueda recibir, sólo será utilizada para fines educativos y para pagar el costo de asistir
a YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE para 2019-2020.
B. CERTIFICATION AND SIGNATURE
Each person signing this worksheet certifies that all the
information reported is complete and correct.
___________________________________________________________________ ______________________________________________
Student Signature / Firma de Estudiante Date / Fecha Student’s ID Number / Número de Identificación del Estudiante
C. NOTARY’S CERTIFICATE OF ACKNOWLEDGEMENT
State of _____________________________________ City/County of __________________________________________________________
On ________________________________________, before me, ______________________________________________________, personally
(Date) (Notary’s Name)
appeared, ____________________________________________________, and proved to me on basis of satisfactory evidence of identification
(Printed name of signer)
_____________________________________________________, to be the above-named person who signed the foregoing instrument.
(Type of government-issued photo ID provided)
WITNESS my hand and official seal
(seal) ________________________________________________________
(Notary Signature)
My commission expires on ___________________________________
(Date)
Page 5 Rev. 9/14/17 Dependent V5
Yuba College
2088 North Beale Road
Marysville, CA 95901
530-749-7999
Woodland Community College
2300 East Gibson Road
Woodland, CA 95776
530-661-5725
Lake County Campus
15880 Dam Road Extension
Clearlake, CA 95422
707-995-7923
WARNING: If you purposely give false or misleading information on
this worksheet, you may be fined, be sentenced to jail, or both.
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