Financial Aid
4101 University Drive; Anchorage, AK 99508 Phone: (907) 564-8341 Fax: (907) 564-8317 finaid@alaskapacific.edu
2021-2022 Verification Worksheet - Group V1 or V5
Dependent Students
Your 2021-2022 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. Federal law states that before
awarding Federal Student Aid, we must ask you to confirm the information you and your parent(s) reported on your FAFSA. To do this, we will compare
your FAFSA with the information on this institutional verification document and any supporting documents. If there are differences, your FAFSA
information may need to be corrected and/or we may ask for you to submit additional documentation. You and a parent whose information was
reported on the FAFSA must complete and sign this institutional verification document, attach any required documents and submit the form to us
within ten business days. If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.
SECTION AStudent Information
Please type or print legibly using black or dark blue pen.
Last Name
First Name and Middle Initial
Last 4 digits of SSN or APU ID Number
Main Phone
Other Phone
_____ / _____ / _________
Date of Birth mm/dd/yyyy
SECTION BFamily Information
List below the people in your parent(s)’ household. If your biological parents are divorced, report information for the parent with
whom you live. Even if you do not live with your parent(s), you must report parent(s) household information. Include:
Yourself (the student) and your parent(s) (including a stepparent) even if you don’t live with your parent(s).
Y
our parents’ other children if your parents will provide more than half of their support from July 1, 2021 through
J
une 30, 2022, or if the other children would be required to provide parental information if they were completing a
FAFSA for 2021-2022. Include children who meet either of these standards even if the children do not live with your
parent(s).
O
ther people who now live with your parent(s) and for whom your parent(s) will provide more than half of their
support through June 30, 2022.
Also include the name of the college for any household member, excluding your parents, who will be enrolled at least half time in
a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2021 and
June 30, 2022.
Full Name
Age
Relationship to
Student
Postsecondary institution
attending from July 1, 2021 to
June 30, 2022
Enrolled at Least
Half Time?
Self
Alaska Pacific University
If more space is needed, attach a list of additional household members with all of the above information, and your name and ID.
SECTION CIncome Information
For both student and parent(s), complete the appropriate area below based on income and tax information:
Student:
I filed or am required to file a 2019 tax return.
Parent:
My parent(s) filed or are required to file a 2019 tax return.
Verify this tax information by submitting the documents below:
A copy of the filed 2019 tax return signed by the tax filer, or containing the necessary tax preparer information,
including schedule(s) 1, 2, and 3 if filed.
Or,
Provide a 2019 Tax Return Transcript (this is NOT the same as a photocopy of your IRS Form 1040). Only official IRS Tax
Return Transcripts, issued directly from the IRS, are acceptable. Transcripts may be requested at
https://www.irs.gov/individuals/get-transcript or by calling 1-800-908-9946.
WORKED IN 2019, BUT NOT REQUIRED TO FILE A TAX RETURN
Student:
I was employed in 2019 but am not required to file (and
did not file) taxes for 2019. Below are the names of all
sources of income and employers with the amount earned
from each in 2019 and attached IRS W-2 form(s).
Parent:
My parent(s) were employed in 2019 but are not required to
file (and did not file) taxes for 2019. Below are the names of all
sources of income and employers with the amount earned from
each in 2019 and attached IRS W-2 form(s).
Employer or Source of Income
Income Earned
Employer or Source of Income
Income Earned
________________________
_________
___________________________
________
________________________
_________
___________________________
________
________________________
_________
___________________________
________
________________________
_________
___________________________
________
________________________
_________
___________________________
________
Copies of 2019 W-2 forms from all employers are REQUIRED. Even though you did not file a tax return, you must also verify
this tax information by submitting the documents below:
Parents only: Provide a 2019 Verification of Non-Filing (VONF) issued directly from the IRS. This may be requested at
https://www.irs.gov/individuals/get-transcript by choosing “Get Transcript ONLINE.” If you cannot obtain the VONF
online you should request and provide a Tax Return Transcript (from the same website) or by calling 1-800-908-9946.
If you do not have your W-2(s) you may provide a 2019 Wage and Income Transcript issued directly from the IRS. This
may be requested at https://www.irs.gov/individuals/get-transcript by choosing “Get Transcript ONLINE.”
DID NOT WORK IN 2019
(and was not required to file a tax return)
Student:
I was not employed and had no income earned from work
in 2019.
Parent:
My parent(s) were not employed and had no income earned
from work in 2019.
Even though you did not work or and did not file a tax return, you must verify this tax information by submitting the
document below:
Parents only: Provide a 2019 Verification of Non-Filing (VONF) issued directly from the IRS. This may be requested at
https://www.irs.gov/individuals/get-transcript by choosing “Get Transcript ONLINE.” If you cannot obtain the VONF
online you should request and provide a Tax Return Transcript (from the same website) or by calling 1-800-908-9946.
Section D — Signatures
Certification and Signatures: Each person signing this form certifies that all of the information reported is complete
and correct. The student and one parent whose information was reported on the FAFSA must sign and date the form.
WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both.
Student Signature (Required)
Date
Parent Signature (Required)
Date
Parent email
Parent phone number
S
ubmit this signed and dated worksheet to and supporting documents to:
A
laska Pacific University
Financial Aid
4101 University Drive
Anchorage, AK 99508
Or,
finaid@alaskapacific.edu
FOR STAFF USE ONLY:
P
lease indicate below how Verification was completed:
STUDENT VERIFICATION:
PARENT VERIFICATION:
Tax Filer
IRS DRT Used
Tax Transcript Provided
IRS DRT Used
Tax Transcript Provided
Non-Filer
W2(s) Provided
W2(s) Not Required
W2(s) Provided
W2(s) Not Required
Financial Aid Representative Signature Date
2
nd
Financial Aid Representative Signature Date
click to sign
signature
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signature
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