2020-21 Dependent - [V1]
Verification Worksheet (page 1 of 2)
Your Free Application for Federal Student Aid (FAFSA) was selected for ‘verification’. Federal regulations state that before awarding Federal
Student Aid, your school must verify the information you and your parent(s) reported on your FAFSA. To complete this verification process,
we will compare your FAFSA information with the information on this worksheet and your parent’s verification worksheet and other
required documents. If there are differences, we will make the appropriate corrections to your FAFSA. After we have reviewed your
documents, we may request additional information. If you have questions, please contact our office for assistance. Submit all requested
documents to ‘CWC - ATTN: Rustler Central’ by mail, deliver in person, email to records@cwc.edu or fax to 307-855-2092.
SECTION 1: STUDENT INFORMATION
STUDENT’S FULL NAME: SOCIAL SECURITY #: XXX – XX -________ CWC ID #:
MAILING ADDRESS: CITY: STATE:_______ ZIP:
STUDENT’S DATE OF BIRTH: EMAIL ADDRESS: PHONE NUMBER:
HOUSING: I will live ON-CAMPUS I will live OFF-CAMPUS (on my own) I live with my PARENTS Live with: _________
WHAT IS YOUR COLLEGE HISTORY: I have never attended college I have attended CWC. I have attended the following colleges
(include names / dates):
Include any community college, university, vocational or technical and dual / concurrent credits taken while in high school. You will also need to order ‘official’ transcripts
from each of those schools / colleges to be sent directly to CWC.
SECTION 2: DID THE STUDENT FILE A 2018 INCOME TAX RETURN WITH THE IRS?
YES, STUDENT DID FILE – COMPLETE THIS COLUMN
NO, STUDENT DID NOT FILE – COMPLETE THIS COLUMN
Important Note: The instructions below apply to the student.
Notify the financial aid office if the student or spouse (if married)
filed separate IRS income tax returns for 2018 or had a change in
marital status after December 31, 2018.
Instructions: Complete this section if the student filed or will file
a 2018 IRS income tax return(s). The best way to verify income is
by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA
on the Web at FAFSA.gov. In most cases, no further
documentation is needed to verify 2018 income information that
was transferred into the student’s FAFSA using the IRS DRT if that
information was not changed. Check the box that applies:
The student has used the IRS DRT in FAFSA on the Web to
transfer 2018 IRS income tax return information into the
student’s FAFSA. Go to the Certification / Signatures on page 2.
The student has not yet used the IRS DRT in FAFSA on the Web,
but will log back into the FAFSA and use the tool to transfer 2018
IRS income tax return information into the student’s FAFSA. Go to
the Certification / Signatures on page 2.
The student is unable or chooses not to use the IRS DRT in
FAFSA on the Web, and instead will provide the institution with a
2018 IRS Tax Return Transcript(s) or a signed copy of the 2018
IRS Form 1040 (with all schedules).
Instructions: Complete this section if the student will not file and is
not required to file a 2018 income tax return with the IRS. Check the
box that applies:
The student was not employed and had no income earned from
work in 2018. Go to the Certification / Signatures on page 2.
The student was employed in 2018 and has listed below the
names of all 2018 employers, the amount earned from each
employer in 2018, and whether or not an IRS W-2 form or an
equivalent document has been submitted. List every employer even
if the employer did not issue an IRS W-2 form.
Student’s 2018
Employer’s Name
IRS W-2 Form or an
Equivalent Document
Has Been Submitted
to CWC (Yes or No)
Annual
Amount
Earned
in 2018
Total of 2018 Income Earned From Work
$
Student 2018 IRS W-2 forms have been submitted.
Student 2018 IRS W-2 forms will be ordered and submitted at a
later date. Estimated date of submission: ____________________
Disbursement of funds will be delayed until all forms are submitted.
Continued on page 2 Created October 2019
