Document Submission:
Fax: 312.567.3982
Office of Financial Aid
Perlstein Hall, 206
10 W. 33
Chicago, IL 60616
Phone: 312.567.7219
Independent Verification Worksheet 2020-2021
Student Information
__________________________________________ _________________________________________
Last Name First Name
__________________________________________ _________________________________________
Campus-Wide ID (A#) Telephone Number
Family Information
1. Please check your current marital status:
Married/Remarried Single Divorced/Separated Widowed
2. List the people you will support between July 1, 2020 and June 30, 2021. Attach a separate sheet if necessary. Attach the
form titled Confirmation of Household Members for any member(s) of your household who are not on your 2018 tax
return. Include:
Your spouse (if married)
List any children (even if the children do not live with you) if you will provide more than half of their financial support
Other household members you support if:
a) They now live with you and receive more than half of their financial support from you, AND
b) You will continue providing more than half of their financial support from July 1, 2020, through June 30, 2021.
Full Name
College or University
Enrolled at Least Half-
Time* (Y/N)
Illinois Tech
*Indicate spouse or children who will be enrolled, at least half-time, in a degree, diploma, or certificate program at a postsecondary educational
institution any time between July 1, 2020 and June 30, 2021. Additional documentation may be required.
certify that the information provided to the Office of Financial aid is true and correct.
____________________________________________ __________________
Student Signature (must print and sign) Date
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review
through a process called verification. Verification is the U.S. Department of Education’s
method of confirming data on your FAFSA and requires the Office of Financial Aid to collect
various forms of documentation. After all documentation has been submitted, check your
Illinois Tech hawk email regularly as our office may have follow-up questions about the
information submitted.