Financial Aid & Scholarships
1700 Spartan Drive, Elgin, IL 60123-7193
Location: B156
Phone: 847-214-7360 Fax: 847-608-5460
Email: financialaid@elgin.edu
2020-2021 Independent 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. Independent 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.) Student’s Date of Birth
_____________________________________________________________ ____________________________________
City State Zip Code Student’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 the student’s household. Include:
Yourself.
Your spouse, if you are married.
You or your spouse’s children if you or your spouse will provide more than half of their support from July 1, 2020,
through June 30, 2021, even if the child does not live with the you.
Other people if they now live with you and you or your spouse 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 addition, please indicate any household member who 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) 28 Wife Central University Yes
Self Elgin Community College
__________________________________________ _________________________________
Date
evised 1R 0/19
C. Student’s Income Information to Be Verified Note: The instructions below apply to the student and spouse, if the
student is married.
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. 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 student will not file and is 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 the student and/or spouse did not file and is not required to file a 2018 IRS income tax return, list below the names of all
employers, the amount earned from each employer in 2018, and provide a copy of the IRS W-2 forms issued to the student
and/or spouse by their employers. List every employer even if the employer did not issue an IRS W-2 form.
Employer’s Name 2018 Amount Earned Attached IRS W-2
Suzy’s Auto Body Shop (example) $2,000.00 Yes
D. Certification and Signatures
I certify that all of the information reported on this
worksheet is complete and correct.
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, sent
to prison, or both.
Student’s Signature
* Electronic Signatures will not be accepted