What You Should Do:
1. It is strongly recommended that you select the IRS Data Retrieval option on
your FAFSA. The U.S. Department of Education no longer allows a preparer's
copy of tax returns to satisfy the Verification requirement. You may order a TAX
RETURN TRANSCRIPT from the Internal Revenue Service online at
www.irs.gov by clicking under Tools "Get Transcript of Your Tax Records" or
by phone at 1-800-908-9946. Obtain a 2015 Federal IRS Tax Return Transcript
for yourself and your parent(s)/step-parent. Note: If you used the IRS Data
Retrieval tool to transfer your IRS income data to your FAFSA, you may not have
to submit the IRS Tax Return Transcript. Please refer to your missing information
letter or your LEONet account - "To Do List".
2. Complete and sign this worksheet - you and at least one parent must sign.
3. Submit the completed worksheet, tax return transcripts, and any other documents
to the Office of Financial Aid.
4. After a financial aid representative reviews your information, you could be asked
to submit additional documentation.
SOUTHEASTERN LOUISIANA UNIVERSITY
2016-17 Verification Worksheet - V1
Dependent
What is Verification?
Your application was selected by the U.S. Department of Education for review in a
process called “Verification”. The Office of Financial Aid must compare
information from your FAFSA with information you provide on this worksheet
and other documents. If there are differences between your application information
and the documents you submit, your application may need to be reprocessed. The
Office of Financial Aid cannot make any federal financial aid payments available
to you or process a student loan request until all verification requirements have
been met.
Student Information
Student's Name
City
State
ZIP Code
University ID (or Social Security Number)
Date of birth
Phone Number (include area code)
Address
Dependent Student's Family Information
List below the people in your parent(s) household, Include:
Yourself and your parent(s) (including a stepparent, if married or living together) even if you don't live with your parent(s).
Your parent(s) other children, if your parent(s) will provide more than half of their support from July 1, 2016 through June 30, 2017, or if the other
children would be required to provide parental information if they were completing a FAFSA for 2016-17. Include children who meet either of these
standards, even if they do not live with your parent(s).
Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide more than
half of their support through June 30, 2017.
Phone: (985) 549-2244
Fax: (985) 549-5077
Office of Financial Aid
SLU 10768
Hammond, LA 70402
Student's Tax and Financial Information
Check only one box below:
I have used the IRS Data Retrieval Tool on my FAFSA and I have not changed the data that was transferred from the IRS.
I have included a copy of my IRS Tax Return Transcript with this form.
I have ordered an IRS Tax Return Transcript.
I was not employed and had no income earned from work in 2015.
Full Name Age
Relationship
to Student
College
Enrolled at Least
Half-Time (Yes or No)
SELF
Southeastern LA Univ.
V1/D - 1 of 2
LA
Parent(s) Tax and Financial Information
Check only one box below:
My parent(s) have used the IRS Retrieval Tool on my FAFSA and have not changed the data that was transferred from the IRS.
My parent(s) have included a copy of their IRS Tax Return Transcript with this form. Please include student's name on form.
My parent(s) have ordered an IRS Tax Return Transcript.
My parent(s) were not employed and had no income earned from work in 2015.
My parent(s) will not file and are not required to file a 2015 U.S. Income Tax Return. Complete chart below and attach W-2 Forms and/or 1099 Forms.Note: We may
require you to provide the documentation from the IRS that indicates a 2015 IRS income tax return was not filed with the IRS.
Certification and Signatures
Each person signing this worksheet certifies that all of the information reported on it is complete and correct. The student and one parent must sign
and date. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student's Signature Date
Parent's Signature Date
Parent(s) Other Information to Be Verified
1. Check below if someone in the student's parent(s) household received benefits from the Supplemental Nutrition Assistance Program or SNAP
(formerly known as food stamps) any time during the 2014 or 2015 calendar years.
2. Complete below if one of the student's parent(s) paid child support in 2015.
One (or both) of the student's parent(s) listed in the Family Information section of this worksheet paid child support in 2015. If asked by the
school, I will provide documentation of the payment of child support.
One or more of the persons listed in the Family Information section of this worksheet received SNAP benefits in 2014 or 2015. If asked by the
school, I will provide documentation of the receipt of SNAP benefits during 2014 and/or 2015.
University ID (or Social Security Number)
Employer's Name
2015 Amount Earned
W-2 and/or 1099 Attached
(Yes or No)
Employer's Name
2015 Amount Earned
W-2 and/or 1099 Attached
(Yes or No)
Name of Person Who Paid
Child Support
Name of Person to Whom
Child Support was Paid
Name of Child for Whom Support was
Paid
Amount of Child
Support Paid in 2015
V1/D - 2 of 2
I will not file and am not required to file a 2015 U.S. Income Tax Return. Complete chart below and attach W-2 and/or 1099. Note: We may
require you to provide documentation from the IRS that indicates a 2015 IRS income tax return was not filed with the IRS .
Complete chart below.
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