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2020-2021
Proof of Dependents
STUDENT NAME: _____________________________________________ WCC ID: _______________________
ADDRESS:
________________________________________________ ___________________________________ ____________ _______________
STREET OR PO BOX CITY STATE ZIP
On the 2020-2021 FAFSA you replied that you [or, for dependent students, your parent(s)] 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 is complete.
INSTRUCTIONS: You [or your parent, if requested] should complete this form using blue or black ink, attach relevant supporting
documentation, sign, and submit the completed package to the WCC Financial Aid Office for review. IMPORTANT – Students
who do not meet federal guidelines for independent status and who are unable to provide acceptable documentation of providing
greater than 50% of the support for a qualified dependent will need to make corrections to the FAFSA to include parent information.
In the spaces below, list your qualified dependent(s). Documentation of the relationship is required (birth certificates, court documents, etc.)
Include your children if you will provide MORE THAN HALF of their support from July 1, 2020 through June 30, 2021, even
if the children
do not live with you.
Include other people ONLY if they meet all the following criteria:
1) They now live with you; AND
2) They currently receive MORE THAN HALF of their support from you; AND
3) They will continue to receive MORE THAN HALF of their support from you through June 30, 2021.
NOTE: Support includes money, housing, food, clothing, medical/dental care, transportation, payment of college costs, and similar expenses.
FULL NAME OF DEPENDENT(S)
ATTACH copies of birth certificates, court documents, etc.
AGE
RELATIONSHIP TO YOU
~if you need additional space, please attach a separate sheet of paper that includes the student name and WCC ID~
This form is being completed by: Independent Student Parent of a Dependent Student
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
Name: ________________________________
With the student’s parent(s) Other: _______________________________________
Where is/are the DEPENDENT(S) named above living?
With the child’s other parent
With the student’s parent(s)
Other (please explain): ____________________________________________
Do you provide medical coverage for the DEPENDENT(S) named above?
ATTACH
a copy of the medical card)
Who provides medical coverage? ______________________
If you are an Independent Student, will you pay someone to care for your dependent(s) while you are attending class?
Amount Paid: $ __________ per ________
Who claimed the STUDENT on the 2019 federal tax return?
Other: ___________________
Who claimed the DEPENDENT(S) named above on the 2019 federal tax return?
The student’s parent(s)
Other: __________________
(if the dependent was claimed by the student or student’s parent(s), ATTACH a copy of the applicable 2019 federal tax return)
Did the DEPENDENT(S) named above file a federal tax return for 2019?
ATTACH
a copy of the DEPENDENT’S 2019 tax return and W-2’s)
Who will claim the DEPENDENT(S) named above on the 2020 federal tax return?
Name: _________________________________________
Relationship to the dependent(s): ________________________
