CONTINUED ON REVERSE
2020-2021
Dependent Verification Worksheet (DV1/DV5)
STUDENT NAME:
____________________________________________________________ WCC ID: ______________________________
ADDRESS: _____________________________________________ ______________________________ _______________ _____________________
STREET OR PO BOX CITY STATE ZIP
Your 2020-2021 FAFSA was selected for review in a process known as verification. Federal law states that the Financial Aid Office
has the right to confirm the information that was submitted before offering and/or disbursing federal student aid. We will compare the
information reported on the FAFSA for you and your parent(s) with the information provided on this worksheet and any required
documentation. PLEASE NOTE – Your eligibility for financial aid cannot be determined until the verification process is
complete.
INSTRUCTIONS: You, and a parent** whose information was included on the FAFSA, should complete this worksheet using
blue or black ink, attach any required documentation, sign, and submit the completed package to the WCC Financial Aid
Office.
**Grandparents, foster parents, legal guardians, widowed stepparents, aunts, uncles, and siblings are not considered parents on this
form unless they have legally adopted you. If your legal parents are married to each other, OR are not married to each other AND live
together, answer the questions for each of them. If your parent was divorced/widowed and then remarried, you are required to include
information for your stepparent. If there are any discrepancies between the information reported on the FAFSA and the documents
submitted to our office, your signature on this form authorizes our office to make the appropriate corrections to your FAFSA.
Additional information may be needed to complete your file. If you have any questions about the verification process, please contact the
Financial Aid Office as soon as possible to avoid a delay in processing your request for financial aid.
A. PARENTS’ HOUSEHOLD INFORMATION
NOTE: The following guidelines apply to DEPENDENT students only. (Independent students should complete the IV1/IV5 form)
1. IN THE SPACES BELOW, LIST THE NAMES OF ALL MEMBERS OF YOUR PARENTS HOUSEHOLD INCLUDING:
The student even if the student does not live with the parent(s).
The parent(s) (including a stepparent if applicable).
The parent’s other children if the parent(s) will provide more than half of the children’s support* from July 1, 2020 through
June 30, 2021, OR if the other children would be required to provide parental information when completing a FAFSA for
2020-2021. Include children who meet either of these standards, even if a child does not live with the parent(s).
Other people ONLY if they now live with the parent(s) AND the parent(s) provide more than half of the other person’s
support* AND will continue to provide more than half of that person’s support* through June 30, 2021.
*Support includes money, gifts, loans, housing, food, clothing, transportation, medical/dental care, college tuition, etc.
**Additional documentation may be required to prove support of dependents other than the parent’s spouse or children.
2. NUMBER IN COLLEGE: In the last column below, provide the name of the college for any household member* who is, or will
be, enrolled at least half time in a degree, diploma, or certificate program any time between July 1, 2020, and June 30, 2021.
*EXCEPTION - Do not include parents’ as college students.
FULL NAME OF HOUSEHOLD MEMBER AGE
RELATIONSHIP TO
STUDENT
COLLEGE ATTENDING
2020-2021
Self
Wayne Community College
~If more space is needed, attach a separate page that includes the student’s name and WCC ID~
RETURN THIS COMPLETED FORM WITH REQUIRED DOCUMENTATION TO:
Wayne Community College - Financial Aid Office - PO Box 8002 - Goldsboro, NC 27533-8002
FAX: 919-736-9425
Wayne Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award associate degrees. Contact the
Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Wayne Community College.
The Commission on Colleges may be contacted only if there is evidence that Wayne Community College is significantly non-compliant with a requirement or standard.
Accreditation standards are located at http://www.sacscoc.org/principles.asp. Inquiries about Wayne Community College, such as admission requirements, financial aid,
educational programs, etc. should be addressed directly to Wayne Community College and not the Commission’s office.
IMPORTANT: If your parent(s) were MARRIED or REMARRIED on the day you submitted the FAFSA, you must answer all tax
and income questions for both parents and/or stepparent.
The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of the online FAFSA at
studentaid.gov. In most cases, no further documentation is needed to verify 2018 income information that was transferred into the
student’s FAFSA using the IRS DRT if that information was not changed.
B. TAX FILING STATUS
STUDENT (choose ONE)
PARENT(S) (choose ONE)
The student filed a 2018 federal tax return AND used (or will
use) the IRS DATA RETRIEVAL TOOL to transfer tax
information into the FAFSA. {Skip to section D}
The parent(s) filed a 2018 federal tax return AND used (or
will use) the IRS DATA RETRIEVAL TOOL to transfer tax
information into the FAFSA. {Skip to section D}
The student filed a 2018 federal tax return but did not and
will not use the IRS Data Retrieval Tool. A signed copy of
the 2018 IRS TAX RETURN TRANSCRIPT* is attached or
will be sent later. {Skip to section D}
The parent(s) filed a 2018 federal tax return but did not and
will not use the IRS Data Retrieval Tool. A copy of the
2018 IRS TAX RETURN TRANSCRIPT(S)* signed by the
parent(s) is attached or will be sent later. {Skip to section D}
The student did not file a 2018 federal tax return. Complete
the NON-TAX FILERS STATEMENT in section C below.
The parent(s) did not file a 2018 federal tax return. The
parent(s) is required to complete the NON-TAX FILER’S
STATEMENT in section C.
*REQUEST IRS TAX RETURN TRANSCRIPTS @ WWW.IRS.GOV
C. NON-TAX FILER’S STATEMENT
(complete this section ONLY if the student OR the students parent(s) DID NOT FILE a 2018 IRS tax return)
IMPORTANT: Non-tax filing parents of dependent students are required to submit a VERIFICATION OF NON-FILING letter (available
via www.irs.gov). The letter must be dated on or after October 1, 2019, and be signed by the individual named in the letter.
**Remember to include the student name and WCC ID on all documents submitted.
STUDENT (choose ONE)
PARENT(S) (choose ONE)
The student was not employed and had no income earned
from work in 2018.
Neither parent was employed, and neither had income
earned from work in 2018
The student was employed and earned income from
working in 2018 but DID NOT, WILL NOT, and is NOT
REQUIRED to file a federal tax return. ALL employers and
earned income amounts are listed below. Copies of ALL
W-2’s, 1099’s, and/or other statements of income
earned from working in 2018 are attached.
One or both parents were employed and earned income
from working in 2018 but DID NOT, WILL NOT, and were
NOT REQUIRED to file a federal tax return. ALL employers
and earned income amounts are listed below. Copies of
ALL W-2’s, 1099’s, and/or other statements of income
earned from working in 2018 are attached.
NAME OF EMPLOYER
STUDENT 2018
EARNINGS
W-2 or 1099
PROVIDED?
PARENT 2018
W-2 or 1099
PROVIDED?
Example: XYZ Department Store 0 N/A $7000 Yes
~If more space is needed, attach a separate page that includes the student’s name and WCC ID~
D. CERTIFICATION AND SIGNATURES
By signing below
, I certify that all information reported on this form and any documentation provided is true and complete.
__________________________________________________ _______________________
STUDENT SIGNATURE (REQUIRED)
DATE
__________________________________________________ _______________________
PARENT SIGNATURE (REQUIRED)
DATE
WARNING: If you purposely provide false or misleading information to obtain financial aid, you may be fined, sentenced to jail, or both.
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