FORM TYPE: VWI
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FORM TYPE: VWI
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2020-2021 Verification Worksheet Independent Student
A. INDEPENDENT STUDENT INFORMATION Please fill in with the student’s information.
Student’s Last Name
First Name
M.I.
Student’s ID Number
Permanent 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. Independent Student’s Family Information – List the people in your household.
Include:
Yourself.
Your spouse, if you are married.
Your children, if any, if you will provide more than half of their support from July 1, 2020 through June 30,
2021, or if the child would be required to provide your 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 you.
Other people if they now live with you and you provide more than half of their support and will continue to
provide more than half of their support from July 1, 2020 through June 30, 2021.
Also, write in the name of the college for any noted above, who will be attending college at least half-time between July
1, 2020 and June 30, 2021, and will be enrolled in a degree, diploma, or certificate program.
Full Name
Age
University/College
Will be Enrolled at
Least Half Time
Missy Jones (example)
Central University
Yes
If more space is needed, attach a separate page with the student’s name and ID number at the top.
C. TAX RETURN FILERS
If student and/or parent filed a tax return and did not utilize the IRS Data Retrieval process, a copy of the 2018 FEDERAL TAX
RETURN TRANSCRIPT(S) or SIGNED 2018 TAX RETURN must be submitted. To request a copy of the 2018 FEDERAL TAX
RETURN TRANSCRIPT from the Internal Revenue Service, call (800) 908-9946 or go to www.IRS.gov.
Important Note: If the student or spouse filed an amended 2018 IRS tax return, please contact your financial aid administrator
before completing this section.
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for verification. Verification is the process used to confirm that
the data reported on your FAFSA form is accurate. The law states that the verification process must be completed before disbursing Federal
Student Aid. We may ask for additional information, if necessary, for clarification. If you have questions about verification, contact the
financial aid office as soon as possible so that your financial aid will not be delayed.
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FORM TYPE: VWI
Log into your Gothic portal and
upload document in
MY ATTACHMENTS
FORM TYPE: VWI
Please log into your Gothic
Portal and upload form to
MY ATTACHMENTS
D. TAX RETURN NON-FILERS
If student and/or spouse did not and are not required to file a 2018 income tax return they must submit an IRS VERIFICATION OF
NON-FILING LETTER dated on or after 10/1/2019 for tax year 2018 whether or not you were employed. To request a copy of the
VERIFICATION OF NON-FILING LETTER (VNF) from the Internal Revenue Service, call (800) 908-9946 or go to
www.IRS.gov. If you’re unable to obtain a VNF, you must submit a signed NJCU Non-Filing statement; which can be found on our
website: https://www.njcu.edu/admissions/financial-aid/financial-aid-forms
E. Income Information to Be Verified
The student (or your spouse, if married) has used the IRS DRT to transfer 2018 IRS income tax return information.
The student (or your spouse, if married) is unable or chooses not to use the IRS DRT and will provide the school with a
2018 IRS Tax Return Transcript(s) or SIGNED 2018 TAX RETURN.
**If the student and spouse filed separate 2018 IRS income tax returns, the IRS DRT cannot be used and the
2018 IRS Tax Return Transcript(s) or SIGNED 2018 IRS TAX RETURN must be provided for each.
The student and spouse were not employed and had no income earned from work in 2018.
The student and/or spouse were employed in 2018 and have listed below the names of all employers, the amount earned
from each employer in 2018, and whether an IRS W-2 form is provided. List every employer even if the employer did not
issue an IRS W-2 form.
Employer’s Name
IRS W-2
Provided?
Annual Amount Earned in
2018
(Example) ABC’s Auto Body Shop
Yes
$4,500.00
If more space is needed, attach a separate page with the student’s name and ID number at the top.
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and spouse whose information was
reported on the FAFSA must sign and date.
Student’s Signature Date
Spouse’s Signature Date
Office of Financial Aid
Hepburn Hall, Room 215
2039 John F. Kennedy Boulevard | Jersey City, NJ 07305
Phone: (201) 200-3173| Fax: (201) 200-3181 | Email: financialaid@njcu.edu
WARNING: If you purposely give false or
misleading information you may be fined, be
sentenced to jail, or both.