Fillable DEPENDENT VERIFICATION WORKSHEET (V1) (Grand Canyon University)

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DEPENDENT VERIFICATION WORKSHEET (V1) (Grand Canyon University)

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Page 1 of 3
P0109082020
DEPENDENT VERIFICATION WORKSHEET (V1)
2021 – 2022
STANDARD VERIFICATION
Your application for financial aid was selected for review in a process called “Verification”. Please submit the documentation as soon as
possible but no later than 120 days after your last day of enrollment, or by September 2022, whichever occurs first. No funds will be
disbursed until the verification process is completed. Failure to complete the verification process by the deadline will result in your
ineligibility for Title IV funds for the award year. The law states we have the right to ask you for this information before awarding any
federal aid. If there are differences between the information supplied on your federal application and your financial documents, we will
need to correct this information. We must review the required information under the financial aid program rules (34 CFR, Part 668).
The Department of Education has requested that the institution v erify certain items for a student selected for this rev iew. All
verification items listed on this worksheet must be verified to determine Title IV eligibility.
To review the status of your awards, please visit your Student Portal at http://gcuportal.gcu.edu/.
All fields are required to be completed. If you have any questions, please contact your GCU Student Services Counselor (SSC).
A. Student Information
STUDENT NAME:
Address:
City: State: Zip:
GCU STUDENT NUMBER: ____________________________
Date of Birth:
Phone No.:
B. Family Information
List the people in your parent’s household. Include:
Full Name Age Relationship Full Name of College (No Acronyms)*
Self Grand Canyon University
*
Household members (excluding the parents of the dependent student) must be enrolled at least half time as a 'regular' student in a degree/
certificate granting program between July 1, 2021 and June 30, 2022.
• Yourself and your parent(s), even if you don’t currently reside with them. Include stepparent if he lived in the household
• Your parent(s)' other children if your parent(s) will provide more than half their support from July 1, 2021 through
June 30, 2022, or if the other children would be required to prov ide parental information if they were completing a
FAFSA for 2021- 2022. Include children who meet either of these standards, even if they do not live with your parent(s). If a
child is between the ages of birth and one year, please list the age as "1"
• Any unborn child who is scheduled to be born between July 1, 2021 through June 30, 2022 should be listed with an age of "0" with
the relationship noted as unborn child
• Other people if they lived with your parent(s) and received more than half their support from your parent(s) and will continue to
receive more than half their support from your parent(s) through June 30, 2022
** Your tax information will not be necessary if you and/or your parent(s) were able to retrieve your tax information using
the IRS Data Retrieval Tool when completing the 2021-2022 FAFSA and no changes were made after the information was retrieved.
Page 2 of 3
P0109082020
STUDENT NAME: GCU STUDENT NUMBER: ________________________________
C. Source of Income – Student: COMPLETE EITHER SECTION 1 OR SECTION 2
Instructions: 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 into 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 2019 IRS income
tax information into your FAFSA.
1. Student: Tax Filer
Check the box that applies:
I have used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2019 IRS income information into my 2021-2022 FAFSA,
either on the initial FAFSA or when making a correction to the FAFSA. GCU will use the IRS information that was transferred for the
verification process.
I am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and will submit to the school a 2019 IRS Tax Return
Transcript or, if I'm unable to obtain a transcript, a signed paper copy of the 2019 IRS tax return that was submitted to the IRS. You may
find the transcript at https://www.irs.gov/individuals/get-transcript and then click “Get Transcript Online.” You must have access to a valid
email address, a text-enabled mobile phone in your name, and specific financial account numbers (such as a credit card number or an
account number for a home mortgage or auto loan). Make sure to request the “Return Transcript” and not the “Account Transcript." If
"Get Transcript Online" is not available, click on "Get Transcript by Mail" or call 1-800-908-9946.
Check here if your IRS Tax Return Transcript(s) or signed tax return(s) is attached to this worksheet.
Check here if your IRS Tax Return Transcript(s) or signed tax return(s) will be submitted to GCU later. Verification
cannot be completed until the
IRS Tax Return Transcript(s) or signed tax return(s) has been submitted to GCU.
2.
I was not employed, had no income earned from work in 2019, and was not required to file a tax return; OR
I was employed in 2019 but was not required to file a tax return. Listed below are the names of all my employers and the
amount earned from each employer in 2019. W-2s are required from all employers.
Do not leave the section below blank if employed. Enter "none" if you did not earn income in 2019 or enter the amount of income earned during
2019.
Student’s Source of Income
2019 Amount
W-2 Attached? If not, why?
$
$
$
$
Student: Non-Tax Filer Complete this section if C.1 above did not apply and you will not file and were not required to file a 2019
income tax return with the IRS.
Page 3 of 3
P0109082020
STUDENT NAME: GCU STUDENT NUMBER: ________________________________
2.
I (we) was not employed, had no income earned from work in 2019, and was not required to file a tax return; OR
I (we) was employed in 2019 but was not required to file a tax return. Listed below are the names of all my employers and
the amount
earned from each employer in 2019. W-2s are required from all employers.
Do not leave the section below blank if employed. Enter "none" if you did not earn income in 2019 or enter the amount of income earned during
2019.
E. Certification and Signature (Handwritten Signature Required – Typed/Electronic Signature Not Accepted)
By signing below both student and parent whose information was reported on the FAFSA certify that all of the information reported is complete
and correct.
Student Signature: ______________________________________ Date: ________________________________
Parent Signature: ______________________________________ Date: ________________________________
WARNING: If false or misleading information is purposely given on this worksheet, student/parent may be fined, sent to prison, or both.
Parent 1 Source of Income
2019 Amount
W-2 Attached? If not, why?
$
$
$
Parent 2 Source of Income
2019 Amount
W-2 Attached? If not, why?
$
$
$
D. Source of Income – Parent(s): COMPLETE EITHER SECTION 1 OR SECTION 2
1.
Parent(s): Tax Filer
Check the box that applies:
I hav e used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2019 IRS income information into my 2021-2022
FAFSA, either on the initial FAFSA or when making a correction to the FAFSA. GCU will use the IRS information that was transferred for
the verification process.
I am unable or choose not to use the IRS Data Retrieval Tool in FAFSA on the Web, and will submit to the school a 2019 IRS Tax Return Transcript
or, if I'm unable to obtain a transcript, a signed paper copy of the 2019 IRS tax return that was submitted to the IRS. You may find the transcript
at https://www.irs.gov/individuals/get-transcript and then click “Get Transcript Online.” You must have access to a valid email address, a text-
enabled mobile phone in your name, and specific financial account numbers (such as a credit card number or an account number for a home
mortgage or auto loan). Make sure to request the “Return Transcript” and not the “Account Transcript." If "Get Transcript Online" is not
available, click on "Get Transcript by Mail" or call 1-800-908-9946.
Check here if your IRS Tax Return Transcript(s) or signed tax return(s) is attached to this worksheet.
Check here if your IRS Tax Return Transcript(s) or signed tax return(s) will be submitted to GCU later. Verification cannot
be completed until the IRS Tax Return Transcript(s) or signed tax return(s) has been submitted to GCU.
Parent: Non-Tax Filer Complete this section if D.1 above did not apply and you will not file and were not required to file a 2019
income tax return with the IRS. You must also submit an IRS "Verification of Non-filing Letter" (VONF) dated on or after 10/1/2020 for tax
year 2019 whether or not you were employed. You may find the form at https://www.irs.gov/individuals/get-transcript and then click
"Get Transcript Online". You must have access to a valid email address, a text-enabled mobile phone in your name, and specific financial
account numbers (such as a credit card number or an account number for a home or auto loan). Make sure to request the "Verification of
Non-filing Letter", and in the Tax Year field, select "2019". If "Get Transcripts Online" is not available, click on "Get Transcripts by Mail" or
call 1-800-908-9946. If you are unable to obtain a VONF, please contact your SSC to complete a "Statement of Non-filing" form.
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DEPENDENT VERIFICATION WORKSHEET (V1) (Grand Canyon University)

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Completed 28 January 2021

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