2021-22 Verification Worksheet
Independent Students
Your financial aid application was selected for review in a process called "Verification." In this process, DU will be comparing
your information from your (and your spouse’s, if you are married) 2019 Federal tax information. Federal regulations require
us to review this information before awarding federal aid. If there are differences between your application information and
your financial documents, we may need to make corrections electronically.
Please complete ALL sections of this worksheet, attach requested documentation as appropriate, sign and return to
Financial Aid. Incomplete worksheets will not be processed, and verification cannot be completed until all requested
documents are received and reviewed.
Please contact us at 303-871-4020 or finaid@du.edu if you have questions while completing this form.
A. Student Information
____________________________ ____________________________ ______ _________________________________
First Name Last Name M.I. DU ID Number (87…)
_________________________________________________________________ ____________________________
Address (include apt. no.) Date of Birth
_______________________________ ________ __________ ________________________________________
City State Zip Code Phone Number (Include area code)
B. Family Information
List the people in your household, including:
yourself and your spouse if you have one, and
your children, if you will provide more than half of their financial support from July 1, 2021 through June 30,
2022, even if they do not live with you, and
other people if they now live with you, and you provide more than half of their financial support and will
continue to provide more than half of their financial support from July 1, 2021 through June 30, 2022 (more
information may be requested).
Write the names of all household members in the space(s) below. Also write in the name of the college for any
household member who will be attending at least half time between July 1, 2021 and June 30, 2022, and will be enrolled
in a degree, diploma, or certificate program at a college or university that is eligible to award federal student aid
funding. If you need more space, please attach a separate page.
Full Name
Age
Relationship
College
Undergraduate or
graduate student?
Self
University of Denver
C. Student’s Tax and Income Information
Did you file a Federal Income Tax Return for 2019? (choose one) Yes No
Important Note: If you filed an amended 2019 tax return, please follow the instructions in Item 1 below to provide a signed copy of your original tax
return, and then provide a signed copy of your amended Form 1040X to our office.
1. If you filed a tax return and have not already successfully utilized the IRS data retrieval tool on your FAFSA:
a) Log into your FAFSA at www.fafsa.ed.gov and correct your FAFSA using the IRS data retrieval tool, OR
b) Provide a signed copy of your 2019 tax return.
2. If you did not file a tax return:
a) Please provide a brief explanation of how you supported yourself in 2019:
b) Provide an IRS “Verification of Non-Filing Letter” for 2019, which can be obtained by going to www.irs.gov and
clicking on “Get Your Tax Record.” If you cannot obtain this document, please contact our office.
3. Income information (required):
List the sources of income you received. If none, write “n/a” (form will be considered incomplete if blank).
Source of Income/Employer
2019 Amount Received
W-2 received? (If yes, please
provide a copy.)
D. Spouses Tax and Income Information (if student is married)
1. Did you and your spouse file a joint Federal Income Tax Return in 2019? (choose one) Yes No
If you answered YES, provide a signed copy of your 2019 tax return or use the IRS Data Retrieval Tool.
2. Did your spouse file a separate Federal Income Tax Return for 2019? (choose one) Yes No
Important Note: If your spouse filed a separate tax return and amended their 2019 tax return, please follow the instructions in Item 1 below to
provide a signed copy of your spouse’s original tax return, and then provide a signed copy of their amended Form 1040X to our office.
If your spouse filed a separate return, provide a signed copy of your spouse’s 2019 tax return.
If your spouse did not file a separate return:
a) Please provide a brief explanation of how your spouse supported themselves in 2019:
b) Provide an IRS “Verification of Non-Filing Letter” for 2019 for your spouse, which they can obtain by
going to www.irs.gov and clicking on “Get Your Tax Record.” If they cannot obtain this document, please
contact our office.
3. Income information (required):
List the sources of income your spouse received. If none, write “n/a” (form will be considered incomplete if blank).
Source of Income/Employer
2019 Amount Received
W-2 received? (If yes, please
provide a copy.)
E. Print and Sign this Worksheet
Signing this form certifies that all the information reported on it is complete and correct. Warning: If you purposely give false
or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
______________________________________________________
Student Signature (required) Date
Submit form to: Financial Aid | University Hall 255 | 2197 S. University Blvd. | Denver, CO 80208-9403 Code: FVF-I
Ph: 303.871.4020 | Fax: 303.871.2341 | finaid@du.edu