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2019-2020
Proof of Dependents
STUDENT NAME: _______________________________________________________ WCC ID #: ______________________________
ADDRESS: ____________________________________________________________________________________________________________________
STREET OR PO BOX CITY STATE ZIP
You indicated on the 2019-2020 FAFSA that you (or your parent(s) for dependent students) provide more than half of the support for a
child or other dependent(s). The Financial Aid Office requires verification of this support. PLEASE NOTE – Your eligibility for
financial aid cannot be determined until the verification process has been completed.
INSTRUCTIONS: You (or your parent) must complete this worksheet in blue or black ink, attach any applicable
documentation, sign, and submit the completed package to the WCC Financial Aid Office for review. IMPORTANT: Students
who do not meet other dependency conditions and are unable to provide adequate documentation of providing 51% or more
of the support for a dependent will need to make corrections at fafsa.gov to include parent information.
This form is being completed for:
Parent of a Dependent Student
In the spaces below, list your qualified dependent(s). Include your children if you will provide MORE THAN HALF (51%+) of
their support
from July 1, 2019 through June 30, 2020, even if they do not live with you.
Include other people ONLY if they meet all of the following criteria:
1) They now live with you; AND
2) They currently receive more than half (51%+) of their support from you; AND
3) They will continue to receive more than half of their support from you through June 30, 2020.
NOTE: Support includes money, housing, food, clothing, medical/dental care, transportation, payment of college costs, and similar expenses.
Documentation of the relationship is required (e.g. birth certificates, court documents, etc.)
FULL NAME OF DEPENDENT AGE
LAST 4 DIGITS
RELATIONSHIP TO YOU
~if you need additional space, please attach a separate sheet of paper that includes the student name and WCC ID#
Where is/are the DEPENDENT(S) named above living?
With the child’s other parent
With the student’s parent(s)
Other (please explain): __________________________________________________
Where is the STUDENT living?
In the student’s own house, apt., condo, etc.
(attach a copy of the lease, mortgage, or
other proof of housing in the student’s name)
With the child’s other parent
With the student’s parent(s)
Other: ____________________________________
For independent students, what provisions have you made for the care of your dependent(s) while you are attending class?
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Do you provide medical coverage for the dependent(s) named above?
(attach a copy of the medical card)
Who provides medical coverage? _________________
Who claimed the STUDENT on the 2018 federal tax return?
The student’s parent(s)
Other: _____________________
Who claimed the DEPENDENT(S) named above on the 2018 federal tax return?
(if the dependent was claimed by the student or student’s parent(s), attach a copy of the applicable 2018 federal tax return)
Did the DEPENDENT(S) named above file a federal tax return for 2018?
Yes (attach a copy of the DEPENDENT’S 2018 tax return and W-2’s)
Who will claim the dependent(s) named above on the 2019 federal tax return?
Name: ____________________________
Relationship to the dependent(s): ___________________
