Fillable 2020-2021 Dependent Verification Worksheet (Elgin Community College)

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2020-2021 Dependent Verification Worksheet (Elgin Community College)

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The 2020-2021 Dependent Verification Worksheet (Elgin Community College) form is 2 pages long and contains:

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  • 6 check-boxes
  • 68 other fields

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File type: PDF

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Financial Aid & Scholarships
1700 Spar
tan Drive, Elgin, IL 60123-7193
Loc
ation: B156
Phon
e: 847-214-7360 Fa
x: 847-608-5460
Email: financialaid@elgin.edu
2020-2021 Dependent Verification Worksheet
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law
states that before awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that
you provided correct information, the financial aid administrator at your school will compare your FAFSA with the information on this
worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You must
complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid
administrator at your school. Your school may ask for additional information. If you have questions about verification, contact your
financial aid administrator as soon as possible so that your financial aid will not be delayed.
A. Dependent Student’s Information
_____________________________________________________________ ____________________________________
Student’s Last Name
Student’s First Name Student’s M.I. Student’s SS# or ECC ID#
________________
_____________________________________________ ____________________________________
_____________________________________________________________ ____________________________________
_____________________________________________________________ ____________________________________
Student’s Street Address (include apt. no.)
Stud
ent’s Date of Birth
Cit
y Sta
te Zip Code S
tudent’s Email Address
Student’s Home Phone Number
(include area code) Student’s Alternate or Cell Phone Number
B. Number of Household Members: List below the people in your parents’ household. Include:
Your
self and your parent(s) (including a stepparent) even if you don’t live with your parent(s).
Your parent(s)’ other children if your 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 if they were
completing a FAFSA for 2020-2021. Include children who meet either of these standards, even if they do not live with
your parent(s).
Other people if they now live with your parent(s) and your parent(s) provide more than half of their support, and
will continue to provide more than half of their support through June 30, 2021. (Proof of support may be required)
In addi
tion, please indicate any household member w
ho is, or will be, enrolled at least half time in a degree, diploma, or
certificate program at an eligible college or university any time between July 1, 2020, and June 30, 2021, and include the
name of the college. If more space is needed, attach a separate page with your name and ECC ID# at the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
Marty Jones(example)
18
Brother
Central University
Yes
Self
Elgin Community College
C. Student’s Income Information to Be Verified
1. Check only one box below:
Check here if the student filed or will file a 2018 IRS income tax return. You must use the IRS Data Retrieval Tool
(IRS DRT) in FAFSA on the Web to transfer your tax information into your FAFSA or provide a signed copy of
your 2018 IRS income tax return including schedules 1, 2, and 3, if applicable.
Check here if the student will not file and is not required to file a 2018 IRS income tax return and did not work or have
income in 2018.
Check here if the student will not file and is not required to file a 2018 IRS income tax return but did work and have
income in 2018. Please complete the table below.
2. If the student did not file and is not required to file a 2018 IRS income tax return, list below the names of all the student’s
employers, the amount earned from each employer in 2018, and provide a copy of the IRS W-2 forms issued to the student
by their employers. List every employer even if the employer did not issue an IRS W-2 form.
Employer’s Name
Attached IRS W-2
Suzy’s Auto Body Shop (example)
Yes
D. Parent’s I
ncome Information to Be Verified
1. Check only one box below:
Check here if the parent(s) filed or will file a 2018 IRS income tax return. You must use the IRS Data Retrieval Tool
(IRS DRT) in FAFSA on the Web to transfer your tax information into the student’s FAFSA or provide a signed
copy of your 2018 IRS income tax return including schedules 1, 2, and 3, if applicable.
Check here if the parent(s) will not file and are not required to file a 2018 IRS income tax return and did not work or
have income in 2018. You must provide a Verification of Non-filing Letter from the IRS (www.IRS.gov) dated on or
after October 1, 2019 that indicates a 2018 IRS income tax return was not filed. If you are unable to obtain a
Verification of Non-filing Letter, please contact the financial aid office.
Check here if the parent(s) will not file and are not required to file a 2018 IRS income tax return but did work and have
income in 2018. You must provide a Verification of Non-filing Letter from the IRS (www.IRS.gov) dated on or after
October 1, 2019 that indicates a 2018 IRS income tax return was not filed. If you are unable to obtain a Verification
of Non-filing Letter, please contact the financial aid office. Please complete the table below
2. If one or both parents did not file and are not required to file a 2018 IRS income tax return, list below the names of all the
parent’s employers, the amount earned from each employer in 2018, and provide a copy of the IRS W-2 forms issued to the
parent(s) by their employers. List every employer even if the employer did not issue an IRS W-2 form.
Employer’s Name
Attached IRS W-2
Suzy’s Auto Body Shop (example)
Yes
E. Certifi
cation and Signatures
_________________________________________________ _________________________________
_________________________________________________ _________________________________
Each person signing below certifies that all of the
inf
ormation reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
Stud
ent’s Signature Date
Parent’s Signature Date
* Electronic Signatures will not be accepted Revised 10/19
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, sent
to prison, or both.
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2020-2021 Dependent Verification Worksheet (Elgin Community College)

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Completed 25 July 2020

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