Fill - Free fillable 2019-2020 Dependent Verification Instructions V5 (Woodland Community College) PDF form

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

SUBMIT THE FOLLOWING DOCUMENTATION:

 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

 2017 W-2 and 1099 Form(s) from each

employer or government agency

 Verification of Non-Filing (VONF) dated on or

after October 1, 2018.

 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

 2017 Wage and Tax Statement

 Verification of Non-Filing (VONF) dated on or

after October 1, 2018

OTHER

SUBMIT THE FOLLOWING DOCUMENTATION:

 Identity/Statement of Educational Purpose

 Complete the Identity and Statement of

Educational Purpose, and

 Provide government-issued valid photo ID card

 High School Completion Status

 Provide proof of 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

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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Fillable 2019-2020 Dependent Verification Instructions V5 (Woodland Community College)

Fill Online, Printable, Fillable, Blank 2019-2020 Dependent Verification Instructions V5 (Woodland Community College) Form

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