20202021 Verification Worksheet
Independent Student
Your 20202021 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 reported on your FAFSA. To verify that you provided correct information the financial aid administrator 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 must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid
administrator at your school. Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as
possible so that your financial aid will not be delayed.
A. Independent Student’s Information
Student ID #__________________________ Student’s Social Security Number ____________________________________
_________________________________________________________________ ( ) .
Student’s Last Name Student’s First Name M.I. Student’s Home Phone
_____________________________________________________________ ( ) .
Student’s Street Address City/State/Zip Student’s Alternate or Cell Phone Number
B. Independent Student’s Family Information
List below the people in your household and include: ONLY PEOPLE THAT YOU WILL SUPPORT MORE THAN HALF
Student’s household includes: student and spouse if married.
Student or spouse’s children if the student or spouse will provide more than half of their support from
July 1, 2020, through June 30, 2021, even if the children do not live with the student or spouse.
Other people if they now live with the student and the student or spouse provides 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.
Include the name of the college for any household member who will be enrolled any time between July 1, 2020 and June 30, 2021.
Full Name
Age
Relationship
Name of College if enrolled
between 7/1/20 and 6/30/21
Enrolled in a degree program
at Least Half Time Y/N
Self
C. Independent Student’s Income Information to Be Verified
SECTION FOR STUDENT NONTAX FILERS ONLY-Complete this section if you, the student ( and, if married, your
spouse), will not file and are not 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/were not employed and had no income earned from work in 2018.
Attached is the required signed statement from student regarding non-filing for 2018.
The student (and/or the student’s spouse if married) was/were employed in 2018 BUT WAS/WERE NOT REQUIRED
TO FILE TAXES and have listed below the names of all employers, the amount earned from each employer in 2018,
and whether an IRS W-2 form(s) are 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 SSN at the top.
Employer’s Name
2018 Amount Earned
N
O
N
T
A
X
F
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Student’s Name: __________________________________________ Student ID#__________________________
SECTION FOR STUDENT TAX FILERS ONLY
Complete this section if you, the student, filed 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. You will still need to submit a copy of
all W-2’s for 2018. In lieu of using the IRS DRT you may submit a signed copy of your 1040, 1040A or 1040EZ along with
your W-2s for 2018.
Check the box that applies:
The student has used the IRS Data Retrieval Tool (DRT) and provided a copy of all W-2’s.
The student has provided a 2018 IRS Tax Transcript and W-2’s. If the student and spouse filed separate 2018 IRS
income tax returns, IRS Tax Transcripts and W-2’s must be provided for both.
The student has provided a signed copy of the 2018 1040, 1040A or 1040EZ along with W-2s. If the student and
spouse filed separate 2018 IRS income tax returns, signed copies of returns with W-2’s must be provided for both.
STUDENTS WITH UNUSUAL CIRCUMSTANCES
____ Filed an Amended IRS Income Tax Return: If an individual filed an amended IRS income tax return for tax year
2018, the individual is required to provide a signed copy of IRS Form 1040X, along with an original signed copy of the 2018 1040,
1040A or 1040EZ and W-2’s.
____ Victim of IRS Identity Theft: A victim of IRS identity theft who has been unable to obtain a 2018 IRS Tax Return
Transcript or use the IRS DRT must provide a signed copy of the 2018 paper IRS income tax return and W-2s that were filed
with the IRS and a signed copy of IRS Form 14039 “Identity Theft Affidavit” if one was submitted to the IRS. If the
individual did not keep a copy of Form 14039 or the IRS did not require him or her to submit one, he or she may
provide one of the following:
A statement signed and dated by the individual indicating that he or she was a victim of IRS identity theft and that the IRS is
investigating the matter. The statement must also indicate that the individual submitted a Form 14039 to the IRS but did not
keep a copy of it or that he or she was not required to file the form; or
A copy of a police report if it was filed related to the IRS identity theft.
____ Filed Non-IRS Income Tax Returns-If an individual filed or will file a 2018 income tax return with Puerto Rico, another U.S.
territory (e.g., Guam, American Samoa, the U.S. Virgin Islands, the Northern Mariana Islands), or with a foreign country, the
individual is required to provide a signed copy of that 2018 income tax return(s) and W2s.
The person signing this form certifies that all the information reported on it is complete and correct.
Student Signature Date
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click to sign
signature
click to edit
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