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2020–2021 V1 Verification Worksheet
Independent Student
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says
that before awarding Federal Student Aid, we may ask you to confirm the information you and your parents reported on your FAFSA. To
verify that you provided correct information the financial aid office at your school will compare your FAFSA with the information on this
worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You and at
least one parent must complete and sign this worksheet, attach any required documents, and submit the form and other required documents
to the financial aid office at your school. YOUR SCHOOL MAY ASK FOR ADDITIONAL INFORMATION. If you have questions
about verification, contact your financial aid officer as soon as possible so that your financial aid will not be delayed.
A. Independent Student’s Informatio
n
Student’s Last Name Student’s First Name Student’s M.I. Student’s IRSC ID Number
Student’s 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 below the people in your household. Include:
Yourself.
Your sp
ouse, 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 through June 30, 2021.
Include the name of the college for any household member 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. If more space
is needed, attach a separate page with your name and IRSC ID at the top.
Full Name
Example M
arty Jones
Age
Example
28
Relationship
Example Wife
College
Example Central University
Will be Enrolled at
Least Half Time
Example Yes or No
self
Student’s Name: IRSC ID:
C. Independent Student’s Income Information to Be Verified
1. TAX RETURN
FILERS—Important Note: If you (or your spouse, if married) filed, or will file, an amended 2018 IRS tax
return, you must contact your financial aid office before completing this section.
Instructions: Complete this section if you, the student, filed or will file a 2018 income tax return with the IRS. The best way to
verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If you have not already used the tool,
go to FAFSA.gov, log in to your FAFSA record, select “Make FAFSA Corrections,and navigate to the Financial Information
section of the form. From there, follow the instructions to determine if you are eligible to use the IRS Data Retrieval Tool to
transfer 2018 IRS income tax information into your FAFSA. It takes up to two weeks for IRS income information to be
available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and up to eight weeks for paper IRS tax return
filers. If you need more information about when, or how to use the IRS Data Retrieval Tool see your financial aid office. Note:
You cannot use the tool if you are married filing separately.
Check the box that applies:
I, the student, have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer my (and, if married, my spouse’s)
2018 IRS income information into my FAFSA, either on the initial FAFSA or when making a correction to th
e FAFSA.
Your school will use the IRS information that was transferred in the verification process.
I, the student, have not yet used the IRS Data Retrieval Tool, but I will use the tool to transfer my (and, if married, my
spouse’s) 2018 IRS income information into my FAFSA once I have filed my 2018 IRS tax return (THIS IS THE BEST
OPTION IF YOU HAVE NOT ALREADY USED THE DATA RETRIEVAL TOOL).. See instructions above for
information on how to use the IRS Data Retrieval Tool. Your school cannot complete the verification process until your
(and, if married, your spouse’s) IRS information has been transferred into your FAFSA.
I, the student, am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and I will submit to the
school 2018 IRS tax return transcript(s)—not photocopies of the income tax return. To obtain an IRS tax return
transcript, go to www.IRS.gov and click on the “Order a Return or Account Transcript” link. Make sure to request the
“IRS Tax Return transcript” and not the “IRS Tax Account transcript.” You will need your Social Security Number, date
of birth, and the address on file with the IRS. (Typically this will be the address used when the 2018 IRS tax return was
filed.) It takes up to two weeks for IRS income information to be available for electronic IRS tax return filers, and up to
eight weeks for paper IRS tax return filers.
Check here if an IRS tax return transcript(s) is attached to this worksheet.
Check here if IRS tax return transcript(s) will be submitted to your school later. Verification cannot be completed
until the IRS tax return transcript(s) has been submitted to your school.
2. TAX RETURN NONFILERS—Complete this section if you, the student (and, if married, your spouse), will not file and are
no
t required to file a 2018 income tax return with the IRS.
Check
the box that applies:
The student (and, if married, the student’s spouse) was not employed and had no income earned from work in 2018.
The student (and/or the student’s spouse if married) was employed in 2018 and has listed below the names of all
employers, the amount earned from each employer in 2018, and whether an IRS W-2 form is attached. Attach copies of all
2018 W-2 forms issued to you (and, if married, to your spouse) by employers. List every employer even if the employer
did not issue an IRS W-2 form. If more space is needed, attach a separate page with your name and IRSC ID at the top.
Employ
er’s Name
Example Suzy’s Auto Body Shop
2018 Amount Earned
Example $2,000.00
IRS W-2 Attached?
Examp
le Yes or No
Student’s Name: IRSC ID:
D. Independent Student’s Other Information to Be Verified
Check the box that
applies
1. Complete this section if someone in the student’s household (listed in Section B) received benefits from the Supplemental
Nutrition Assistance Program or SNAP (formerly known as food stamps) any time during the 2017 or 2018 calendar
years.
One of the persons listed in Section B of this worksheet received SNAP benefits in 2017 or 2018. If asked by my school,
I will provide documentation of the
receipt of SNAP benefits during 2017 and/or 2018.
Name of person receiving benefits: Total amount received:
2. Complete this section if you or your spouse, if married, paid child support in 2018.
Either I, or if married my spouse who is listed in Section B of this worksheet, paid child support in 2018. I have indicated
below the name of the person who paid th
e child support, the name of the person to whom the child support was paid, the
names of the children for whom child support was paid, and the total annual amount of child support that was paid in 2018
for each child. If asked by my school, I will provide documentation of the payment of child support. If you need more
space, attach a separate page that includes your name and IRSC ID at the top.
Name of Person Wh
o Paid
Child Support
Example Marty Jones
Name of Person to Whom Child
Support was Paid
Example Chris Smith
Name of Child for Whom
Support Was Paid
Example Terry Jones
Amount of Child
Support Paid in
2018
Example $6,000
E. Certification and Signature
WARNING: If you purposely give false or misleading
information on this
worksheet, you may be fined, be
sentenced to jail, or both
.
_________________________________
Date
__________
_______________________
Date
Do not mail this worksheet to the U.S. Department of Education. Submit this worksheet to the
financial aid office at your school. You should make a copy of this worksheet for your records.
By typ
ing my name on the signature line, I acknowledge that I am the student listed on this form and that my typed (electronic)
signature is as valid as if signed in writing. I also acknowledge that the information is true and correct to the best of my
knowledge. I agree and acknowledge that my typed (electronic) signature is legal and binding in regards to financial aid
documents and relevant information submitted. The student and spouse must type their name and date.
Student's Typed Name
Spouse's Typed Name
__
_________________________________________
_
_
___________________________________________
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