YubaCommunityCollegeDistrict
 F
inancialAidOffices
20202021DependentVerificationInstructionsV5
Yourfinancialaidapplicationwasselectedfor aprocesscalled“verification”bytheDepartmentofEducation.TheFinancialAid
Officeisrequiredbythefederalgovernmenttoverifytheinformationyouprovidedonyourfinancialaidapplication (FAFSA) is
correct. Your financial aid application cannot be processed until all requested information
is received. Any required
correctionsmaydelaytheprocessingofyourfinancialaidawards.Theinstructionsbelowapplytothestudentandparent(s).
WHATYOUNEEDTODO:
1.Complete(inink)allsectionsoftheDependentAggregateVerificationGroupWorksheet,signanddateit.
2.SubmitallrequiredformsanddocumentstotheFinancialAidOfficeatthecampusyouareattendingassoonaspossible.
Theverificationprocesscantakeup
toseveralweekstocomplete.CheckyourYCCDstudentemail(@go.yccd.edu)frequently
becausewewillcontactyouthroughyourstudentemailifthereareproblemsorweneedadditionalinformationafter
wereviewyourfile.
3.Provideproofofincomeearnedorbenefitsreceivedin2018for
studentandparent(s).Refertothechartbelowto
determinewhichincomeisrequiredtobeverifiedandwhatdocumentationyoumustsubmittotheFinancialAidOffice.
FILEDORWILLFILEA2018FEDERALINCOMETAXRETURN SUBMITTHEFOLLOWINGDOCUMENTATION:
Ifyouand/oryourparent(s)fileda2018IRSIncomeTaxReturnand
usedtheIRSDataRetrievalTooltotransferthe2018IRSincometax
returninformationintoyourFAFSAand
didnotmakeanychangestothetransferredinformation
Youarenotrequiredtosubmita2018Federal
TaxReturn
Note:Youmayberequiredtoprovideadditional
documentationifwehavereasontobelievethe
incomeinformationisinaccurate.
Ifyouand/oryourparent(s)filedorwillfilea2018IRSIncomeTax
Returnand
usedtheIRSDataRetrievalTooltotransferthe2018IRSincometax
returninformationintoyourFAFSAandchangedanyofthefields
containingtransferredinformationor
didnotusethe
IRSDataRetrievalTooltotransferthe2018IRSincome
taxreturninformationintoyourFAFSA
Youarerequiredtosubmita2018FederalTax
ReturnTranscript.
See#4forinstructions.
Youarerequiredtosubmitacopyofyour2018
1040FederalTaxReturnForm.
Ifyourparent(s)filedseparate2018IRSIncomeTaxReturns
Youarerequiredtosubmita2018FederalTax
ReturnTranscriptoracopyofthe1040Federal
TaxReturnsignedforeach.See#4for
instructions.
Ifyouoryourparent(s)filedanamendedIRSIncomeTax.An
amendedreturnisoneyoufileifyoumadeamistakeonyouroriginal
returnandyouhavetoamendorcorrectit.
Youarerequiredtosubmita2018IRSIncome
TaxReturnTranscript,1040or
IRSDRT
informationonanISIRrecordwithalltax
informationfromtheoriginaltaxreturn;and
Asignedcopyofthe2018IRSForm1040Xthat
wasfiledwiththeIRSshowingthecorrections
Ifyouoryourparentsfileda2018IRSIncomeTaxReturnandare
VictimsofIRSTaxIdentityTheft
Note:MayobtainacopyofaTRDBVTranscriptbycallingtheIRS’sIdentity
ProtectionSpecializedUnitat18009084490
YouarerequiredtosubmitaTaxReturn
DataBase(TRDBV)Transcript
AStatementsignedanddatedbythetaxpayer
indicatingyouareavictimoftaxrelatedidentity
theftandtheIRSisaware
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCounty Campus
15880DamRoadExtension
Clearlake,CA95422
7079957923
DIDNOTORWILLNOTFILEA2018FEDERALINCOMETAXRETURN SUBMITTHEFOLLOWINGDOCUMENTATION:
Ifyouand/oryourparent(s)workedin2018,butdidnotfilea2018
FederalIncomeTaxReturnand
arenotrequiredtofilea2018FederalIncomeTaxReturn
2018W2and1099Form(s)fromeach
employerorgovernmentagency
VerificationofNonFiling(VONF)datedonor
afterOctober1,2019.
Ifyouand/oryourparent(s)werenotemployedandhadnoincome
earnedfromworkin2018and
arenotrequiredtofilea2018FederalIncomeTaxReturn
2018WageandTaxStatement
VerificationofNonFiling(VONF)datedonor
afterOctober1,2019
OTHER SUBMITTHEFOLLOWINGDOCUMENTATION:
Identity/StatementofEducationalPurpose
CompletetheIdentityandStatementof
EducationalPurpose,and
ProvidegovernmentissuedvalidphotoIDcard
HighSchoolCompletionStatus Provideproofofhighschoolcompletionstatus.
4.TaxfilerscanrequestanIRSTaxReturnTranscript,freeofcharge,fromtheIRSinoneofthreeways:
A. RequestanIRSTaxTranscriptorVerificationofNonFilingOnline(VONF)atwww.irs.govortheIRS2Goapp
UnderTOOLS:Clickon“GetMyTaxRecord”Online
Taxpayermusthaveaccesstovalidemailaddress,
Atextenabledphone,(notpayasyougo)andthephonemustbeinthetaxpayer’sname
Certainfinancialaccountnumbers(suchasacreditcardnumberand/or
accountnumberforahome
mortgageorcarloan).Thisverifiesidentityonlythecardwillnotbecharged.
TheIRSwillsendaconfirmationcodeviaemailortexttofinalizethe“GetTranscriptOnline”
registration.
Select“GetStarted”andproceedtoenterpersonalinformation
Torequest
aTaxReturnTranscriptorVerificationofNonFiling(VONF)bemailedtoyou:
UnderTOOLS:Clickon“GetMyTaxRecord”Mail
Select“TaxReturnTranscript”
Enteryourpersonaldemographicsandincludetheaddressfromyour2018FederalTaxReturn.When
asked,Select“ReturnTranscript”fortaxyear2018.DONOTselecttheAccountTranscript!OR
CompleteIRSForm4506Tavailableatwww.irs.govforaTaxReturnTranscriptorVONF
MailorFaxcompletedformtotheaddress/faxnumberlistedonform(July1,2019,theIRSwillno
longermailtothirdparties)
B. OrderanIRSTaxReturnTranscriptbyphone‐CallIRSat18009089946
TheIRS’sautomatedgettranscriptbymailfeature.
SelectOption2torequestaTaxReturnTranscriptandfollowthepromptstocompleteyourrequest
5
.TheFinancialAidOfficenolongermailsawardletters.Onceyourverificationiscompleted,yourfinancialaidaward(s)will
beavailableon
YubaCollegeSelfService login.yccd.edu.Allawardsarecontingentuponavailable
fundingandyourmeetingallstudenteligibilityrequirementsforFederal,StateandInstitutionalfinancialaidprograms.
YCCDreservestherighttomodifyyourawardsatanytime.Arevisedawardletterwillbepostedifanawardismodified.
TheFinancialAidOfficereviewsyourenrollmentstatus,satisfactoryacademic
progress(SAP)andothereligibilitycriteriaand
willauthorizeapaymentifyouareeligible.Theamountslistedonyourfinancialaidawardletterreflecttheawardsforafull‐
timestudent.Theamountyoureceivemaybelessbecauseitisbasedonthenumberofunitsyouareactivelyenrolledin
whenthedisbursementsareprocessed.
REV11/14/19
20202021DependentVerificationWorksheet
AggregateGroupV5
A.STUDENTINFORMATION
____________________________________________________________ ___________________________________________
LastNameFirstName M.I. SocialSecurityNumber
____________________________________________________________ ___________________________________________
MailingAddress(includeapt.no.)DateofBirth
____________________________________________________________ ___________________________________________
CityState ZipCode PhoneNumber(IncludeAreaCode)
B.FAMILY/HOUSEHOLDINFORMATION(StudentandParent)
HouseholdMembers Age
Readinstructionsinitems1through4andcompletethetablebelow.
1.Listthepeoplewholiveinyourhousehold.Includethefollowing:
Yourself
Yourparent(s)evenifyoudon’tlivewithparent(s).Thisincludesa
stepparent.
Yourparents’otherchildrenifyourparent(s)willprovidemorethan50%of
theirsupportfromJuly1,2020throughJune30,
2021.
Otherdependentsiftheynowlivewithyourparent(s)andyourparent(s)
providemorethan50%oftheirsupportandwillcontinuetoprovidemore
than50%oftheirsupportthroughJune30,2021.
2.Writethedateofbirthforeachfamilymemberin
thechartbelow.
Relationship
3.Writetherelationshipofeachfamilymemberto
thestudentinthechartbelow.
College
4.Includethenameofthecollegeforanyhousehold
memberwhowillbeenrolledinadegreeor
certificateprogramatleasthalftimebetween
July1,2020andJune30,2021.
FullName(Print)
DateofBirth
Relationship
CollegeAttending
In202021
#ofUnits
EnrolledIn
Self
5.Whatisyourcurrenthousingstatus? Ilivewithmyparent(s) Iliveoffcampus
Ifmorespaceisrequired,attachaseparatepagewiththestudent’snameandIDnumberatthetop.
C. INCOMEINFORMATION(StudentandParent)
1.TAXRETURNNONFILERS
Page1REV3/14/17DependentV5
Checktheboxthatappliestothestudentandparent(s). Submitthefollowingrequireddocuments:
Student
Parent
I/wewerenotemployedandhadnoincomeearnedfrom
workin2018andarenotrequiredtofilea2018Federal
IncomeTaxReturn.
2018WageandTaxStatement
VerificationofNonfiling(VONF)datedonor
afterOctober1,2019.
Note:SeeInstructionsabove
Student
Parent
I/weworkedin2018,butdidnotfileandarenotrequired
tofilea2018FederalIncomeTaxReturn.
2018W2Form(s)
VerificationofNonFiling(VONF)datedonor
afterOctober1,2019
Office Use Only:
DATE Received:
StudentName(Print):___________________________________________StudentID#:_______________________________
2.TAXRETURNFILERS
Checktheboxthatappliestothestudentandparent(s). Submitthefollowingrequireddocuments:
Student
Parent
Ifyouand/oryourparent(s)fileda2018FederalIncomeTax
ReturnandusedtheIRSDataRetrievalTooltotransfermy/our
2018IRSincometaxreturninformationintothestudent’s
FAFSA.I/wedidnotmakeanychangestothetransferred
information.
Nofurtherdocumentationisrequired
ifthe
importedinformationwasnotchangedonthe
FAFSA.
Note:Wemayrequireyoutoprovideadditional
documentationifwehavereasontobelievethe
informationisinaccurate.
Student
Parent
Ifyouand/oryourparent(s)fileda2018FederalIncomeTax
ReturnanddidnotusetheIRSDataRetrievalTooltotransfer
my/our2018IRSincometaxreturninformationintomyFAFSA
orchangedinformationthatwastransferredfromtheIRS.
2018FederalTaxReturnTranscript
Parent MyParentsfiledseparate2018FederalIncomeTaxReturns.
2018FederalTaxReturnTranscriptsforeach
parent
Student
Parent
Ifyouand/oryourparent(s)filedanamended2018Federal
IncomeTaxReturn.Anamendedreturnisoneyoufileifyou
madeamistakeonyouroriginalreturnandyouhavetoamend
orcorrectit.
2018FederalTax ReturnTranscript
20181040XSignedCopy
Student
Parent
Ifyouoryourparent(s)fileda2018IRSIncomeTaxReturnand
areVictimsofIRSTaxRelatedIdentityTheft
ATaxReturnDataBaseView(TRDBV)
transcriptmustbesubmittedfromtheIRS,
andSignedStatement
3.
VERIFICATIONOFINCOMEINFORMATIONTAXRETURNNONFILERSONLY
Listbelowthenameofthepersonwhoearnedtheincome,thenamesofallemployers,theamountearnedfromeachemployer
in2018,andwhetheranIRSW2Formisprovided.Providecopiesofall2018IRSW2Form(s)issuedtoyoubyyouremployer(s).
ListeveryemployereveniftheemployerdidnotissueanIRSW2Form.
NameofPersonWhoEarned
theIncome(Print)
Employer’sName Total2018
AmountEarned
IRSW2Form
Provided?

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo
D.IDENTITYANDSTATEMENTOFEDUCATIONALPURPOSE(Student)
PleasereadandcompletetheIdentityandStatementofEducationalPurposeonpage4or5 ofthisform.Youmustcompleteone
oftwooptions.Witheitheroption, youmustprovideacopyofa valid governmentissuedphotoidentificationcardwiththeform.
Thiscanincludebutisnot
limitedtoadriver’slicense,otherstateissuedID,orpassport.
Option1:YoucansigntheforminthepresenceofaFinancialAidstaffmember.
Option2:Allowsthestudenttosigntheformbeforeanotarypublic.
Page2REV9/14/17DependentV5
StudentName(Print):___________________________________________StudentID#:_______________________________
E.HIGHSCHOOLCOMPLETIONSTATUS(Student)
Provideoneofthefollowingdocumentsthatindicateyourhighschoolcompletionstatuswhenthestudentwillbegincollegein
20202021.AstudentwhoisunabletoobtainthedocumentationlistedbelowmustcontacttheFinancialAidOffice.
HighSchoolDiploma
Acopyofthestudent’shighschooldiploma.
Acopyofthestudent’sfinalofficialhighschooltranscriptthatshowsthedatewhenthediplomawasawarded.
AcopyofDDForm214thatindicatesthestudentisahighschoolgraduateorequivalent
RecognizedEquivalentofaHighSchoolDiploma
Acopyofthestudent’sGeneralEducationalDevelopment(GED)certificate.
AnofficialGEDtranscriptthatindicatesthestudentpassedtheexam.
AstatecertificateortranscriptthattheStaterecognizesastheequivalentofahighschooldiploma(HiSET,TASC,orotherstate
authorizedexamination).
Acopy
ofthe“secondaryschoolleavingcertificate”orothersimilardocumentforstudentswhocompletedsecondaryeducationina
foreigncountry.
Anacademictranscriptthatindicatesthestudentsuccessfullycompletedatleastatwoyearprogramthatisacceptableforfullcredit
towardabachelor’sdegree.
Homeschool
Forahomeschooledstudentfromastatewherestatelawrequiresthestudenttoobtainasecondaryschoolcompletioncredentialfor
homeschool(otherthanahighschooldiplomaoritsrecognizedequivalent),acopyofthatcredential.
Forahomeschooledstudentfromastatewherestatelawdoesnot
requirethestudenttoobtainasecondaryschoolcompletion
credentialforhomeschool(otherthanahighschooldiplomaoritsrecognizedequivalent)atranscriptorequivalent,signedbythe
student’sparentorguardian,thatliststhesecondaryschoolcoursesthestudentcompletedandincludesastatementthatthestudent
successfullycompletedasecondaryschooleducationinahomeschoolsetting.
F.CERTIFICATIONANDSIGNATURE(StudentandParent)

Eachpersonsigningthisworksheetcertifiesthatalltheinformation
providedistrueandcompletetothebestoftheirknowledge.Parent
signatureisrequired.
__________________________________________________________________________________________________________________
StudentSignatureDateParentSignatureDate
FINANCIALAIDOFFICEUSEONLY  
DateAwarded/FATech:___________________________________________ISIR:_________________EFC:___________________________
Comments:

3REV9/14/17DependentV5

WARNING:Ifyoupurposelygivefalseormisleadinginformationon
thisworksheet
,
y
ouma
y
befined
,
besentencedto
j
ail
,
orboth.
YubaCommunityCollegeDistrict
FinancialAidOffices
IdentityandStatementofEducationalPurpose
StudentName(Print):________________________________________________ StudentID#:__________________________________
AsrequiredbytheDepartmentofEducation,youmustcompleteeitheroption 1attheFinancialAidOfficeatthecampusyouattendoroption2
withaNotaryPublic.Witheitheroption,youmustprovideacopyofavalidgovernmentissued
photoidentificationcardwiththisform.
A.OPTION#1
The student must appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her identity by presenting a valid
governmentissuedphoto identification (ID), such as, but not limited to, adriver’slicense,other stateissued ID, or passport. The institution will
maintain a copy of the
student’s photo ID that is annotated by the institution with the date it was received and reviewed and the name of the
officialattheinstitutionauthorizedtocollectthe student’sID.
Inaddition,thestudentmustsign,inthepresenceoftheinstitutionalofficial,thefollowingEnglishorSpanish
statement:
STATEMENTOFEDUCATIONALPURPOSE
IcertifythatI,______________________________________________________________,amtheindividualsigningthisStatementofEducational
(PrintStudent’sName)
PurposeandthatthefederalstudentfinancialassistanceImayreceivewillonlybeusedforeducationalpurposesandtopaythecostofattending
YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor20202021.
DECLARACIÓNDEPROPÓSITOEDUCATIVO
Certificoqueyo,___________________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad
(ImprimirNombredelEstudiante)
Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizada parafineseducativosyparapagarelcostodeasistir
aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara20202021.
B.CERTIFICATIONANDSIGNATURE
Eachpersonsigningthisworksheetcertifiesthatallthe
informationreportediscompleteandcorrect.
_____________________________________________________________________________________________________________________
StudentSignature/FirmadeEstudiante Date/FechaStudent’sIDNumber/NúmerodeIdentificacióndelEstudiante


FINANCIALAIDOFFICEUSEONLY:
_____________________________________________________________________________________________________________________
FinancialAidRepresentativeSignatureDateTypeofValidID
Page4REV9/14/17DependentV5
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
LakeCountyCampus
15880DamRoadExtension
Clearlake,CA95422
7079957923
WARNING:Ifyoupurposelygivefalseormisleadinginformationon
thisworksheet
,
y
ouma
y
befined
,
besentencedto
j
ail
,
orboth.
YubaCommunityCollegeDistrict
 FinancialAidOffices

IdentityandStatementofEducationalPurpose
StudentName(Print):________________________________________________ StudentID#:__________________________________
A.OPTION#2
IfthestudentisunabletoappearinpersonatYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEtoverifyhisorheridentity,thestudentmust
providethefollowing:
(a) Acopyofthevalidgovernmentissuedphotoidentification(ID)thatisacknowledgedinthenotarystatementbelow,suchasbutnot
limitedtoadriver’slicense,otherstateissuedID,orpassport;and
(b) TheoriginalnotarizedStatementofEducationalPurpose(inEngli shorSpanish)providedbelow.
STATEMENTOFEDUCATIONALPURPOSE
IcertifythatI,__________________________________________________________,amtheindividualsigningthisStatementofEducational
(PrintStudent’sName)
PurposeandthatthefederalstudentfinancialassistanceImayreceivewillonlybeusedforeducationalpurposesandtopaythecostofattending
YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor20202021.
DECLARACIÓNDEPROPÓSITOEDUCATIVO
Certificoqueyo,_______________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad
(ImprimirNombredelEstudiante)
Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizada parafineseducativosyparapagarelcostodeasistir
aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara20202021.
B.CERTIFICATIONANDSIGNATURE
Eachpersonsigningthisworksheetcertifiesthatallthe
informationreportediscompleteandcorrect.
___________________________________________________________________ ______________________________________________
Student Signature / Firma de Estudiante Date / Fecha Student’s ID Number / Número de Identificación del Estudiante

C.NOTARY’SCERTIFICATEOFACKNOWLEDGEMENT
Stateof_____________________________________City/Countyof__________________________________________________________
On________________________________________,beforeme,______________________________________________________,personally
(Date) (Notary’sName)
appeared,____________________________________________________,andprovedtomeonbasisofsatisfactoryevidenceofidentification
(Printednameofsigner)
_____________________________________________________,tobetheabovenamedpersonwhosignedtheforegoinginstrument.

(TypeofgovernmentissuedphotoIDprovided)
WITNESSmyhandandofficialseal 
(seal)________________________________________________________ 
 (NotarySignature)

Mycommissionexpireson___________________________________
(Date)
Page5Rev.9/14/17 DependentV5 
YubaCollege
2088NorthBealeRoad
Marysville,CA95901
5307497999
WoodlandCommunityCollege
2300EastGibsonRoad
Woodland,CA95776
5306615725
Lake County Campus
15880DamRoadExtension
Clearlake,CA95422
7079957923
WARNING:Ifyoupurposelygivefalseormisleadinginformationon
thisworksheet,youmaybefined,besentencedtojail,orboth.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome