Fillable 2020-21 Dependent - [V5] Aggregate Verification Worksheet (page (Central Wyoming College)

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2020-21 Dependent - [V5] Aggregate Verification Worksheet (page (Central Wyoming College)

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2020-21 Dependent - [V5]
Aggregate Verification Worksheet (page 1 of 4)
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 3.
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 3.
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 3.
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
2020-21 Dependent Aggregate Verification Worksheet – V5 (page 2 of 4)
Student’s Full Name: Student’s CWC ID #:
YES, THE STUDENT DID FILE – continued from page 1
The student has filed a 2018 Amended IRS Income Tax Return
(1040X). The student must provide TWO documents: 1) a signed
copy of the 2018 IRS Form 1040X (Amended U.S. Individual
Income Tax Return) or documentation that the IRS made
change(s), and 2) a 2018 IRS Tax Return Transcript (that will
include information from the original tax return), or any other IRS
tax transcript(s) that includes all of the income and tax
information required to be verified; or a signed copy of the
original 2018 IRS Form 1040 (with all schedules) that was filed.
Check here if a 2018 IRS Tax Return Transcript(s) or a signed
IRS Form 1040 (with all schedules) has been submitted to CWC.
Go to the Certification / Signatures on page 3.
Check here if a 2018 IRS Tax Return Transcript(s) or a signed
IRS Form 1040 (with all schedules) will be provided later.
Estimated date of submission: __________________.
Go to the Certification / Signatures on page 3. Disbursement of
funds will be delayed until all forms are submitted.
NO, STUDENT DID NOT FILE – continued from page 1
REMINDER: Non-Filers must submit a copy of each W-2 form
received in 2018 to verify your wages. If you did not receive a W-2
from your employer, contact the employer and request a duplicate
copy of your W-2. If you worked (odd jobs) and you did not receive a
W-2, submit a signed written statement documenting the name of
the employer and the amount of the wages you received from
working in 2018. Disbursement of funds will be delayed until all forms
are submitted.
2018 IRS TAX RETURN TRANSCRIPT / W-2 FORMS MAY BE OBTAINED BY CONTACTING THE IRS – SEE INFORMATION BELOW:
Get Transcript by Mail – Go to www.irs.gov, click "Get Your Tax Record.” Click “Get Transcript by Mail.” Make sure to request the
“Return Transcript” and NOT the “Account Transcript.” The transcript is generally received within 10 business days from the IRS’s
receipt of the online request.
Get Transcript Online – Go to www.irs.gov, click "Get Your Tax Record." Click “Get Transcript Online.” Make sure to request the
“Return Transcript” and NOT the “Account Transcript.” To use the Get Transcript Online tool, the user must have (1) access to a
valid email address, (2) a text-enabled mobile phone (pay-as-you-go plans cannot be used) in the user’s name, and (3) specific
financial account numbers (such as a credit card number or an account number for a home mortgage or auto loan). The transcript
displays online upon successful completion of the IRS’s two-step authentication.
Automated Telephone Request – Call the IRS’s automated telephone order line at 1-800-908-9946. The transcript is generally
received within 10 business days from the IRS’s receipt of the telephone request. Listen carefully to the prompts.
Paper Request Form – IRS Form 4506T-EZ or IRS Form 4506-T. Submit the request(s) in to CWC and we will fax it to the IRS for you.
The transcript should arrive within 10 business days from the IRS’s receipt of the paper request form.
Continued on page 3
2020-21 Dependent Aggregate Verification Worksheet – V5 (page 3 of 4)
Student’s Full Name: Student’s CWC ID #:
SECTION 3: HIGH SCHOOL COMPLETION STATUS
Provide one of the following documents to indicate your high school completion status when you will begin college in 2020-21. If you are
not able to obtain the documentation listed below, please contact a Central Wyoming College financial aid staff member.
The student’s final official high school transcript with final GPA and graduation date is to be sent directly to Central Wyoming College,
ATTN: Rustler Central. This document can be delivered in a sealed envelope, mailed to CWC, emailed to records@cwc.edu or faxed to
307-855-2092 from the issuing institution.
Students who have received the equivalent of a high school diploma (GED Test scores, HiSET, TASC, or other State-authorized
examination) must submit their official test scores (not the certificate).
For a homeschooled student in a state where state law does not require the student to obtain a secondary school completion credential
for homeschool (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student’s
parent or guardian, that lists the secondary school courses the student completed and includes a statement that the student successfully
completed a secondary school education in a homeschool setting.
An academic official transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
Verification of my High School Completion (HS Transcript or GED Test Scores) has been submitted to Central Wyoming College.
Warning: If you purposely give false or misleading information on this worksheet, you will be reported to the Department of Education, you may be fined, sent to prison
or both.
SECTION 4: CERTIFICATIONS AND SIGNATURES
By signing this worksheet, I/we certify that all of the information reported on all pages of this worksheet are complete and correct. We
also understand that ALL required documents must be submitted before CWC can make any federal financial aid disbursements for the
2020-2021 school year.
Student Signature Date Parent Signature (who provided information on FAFSA) Date
2020-21 Dependent Aggregate Verification Worksheet – V5 (page 4 of 4)
Student’s Full Name: Student’s CWC ID #:
2 0 2 0 – 2 0 2 1 I D E N T I T Y A N D S T A T E M E N T O F E D U C A T I O N A L P U R P O S E
The student must appear in person at Central Wyoming College to verify his or her identity by presenting an unexpired valid government-
issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The institution will
maintain a copy of the student’s photo ID that is annotated by the institution with the date it was received and reviewed, and the name
of the official at the institution authorized to receive and review the student’s ID.
In addition, the student must sign in the presence of the institutional official, the Statement of Educational Purpose provided below. If
the student is unable to complete in person, then this statement must be completed in the presence of a Notary Public.
DO NOT COMPLETE THIS FORM IN ADVANCE
-------------------------------------------------------------------------------------------------------------------------------
IF SUBMITTING TO CWC IN PERSON
Present this form with original valid
government-issued photo ID, such as, but not
limited to, a driver’s license, other state issued
ID, or passport.
IF STUDENT IS UNABLE TO APPEAR IN PERSON - SUBMIT BY MAIL
Identity and Statement of Educational Purpose (To Be Signed in the
Presence of a Notary) to verify student’s identity, the student must
submit: 1) A copy of the unexpired valid government-issued photo
identification (ID) that is acknowledged in the notary statement below, or
that is presented to a notary, such as, but not limited to a driver’s license,
other state issued ID, or passport; and 2) The original Statement of
Educational Purpose provided above, which must be notarized. If the
notary statement appears on a separate page than the Statement of
Educational Purpose, there must be a clear indication that the Statement
of Educational Purpose was the document notarized.
Completed by CWC Official:
Completed by Notary Public:
ID Type:
State of: City/County of:
ID Number:
On (Date):
Expiration Date:
Before me (Notary’s Name):
Name of CWC Official:
Person Appeared (Printed Name of Signer):
Signature of CWC Official:
And proved to me on basis of satisfactory evidence of identification (Type
of government-issued photo ID provided):
Date:
To be the above named person who signed the foregoing instrument.
Notary Signature:
WITNESS my hand and official seal:
(seal)
My commission expires on:_____________
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2020-21 Dependent - V5 Aggregate Verification Worksheet (page (Central Wyoming College)

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Completed 4 February 2021

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