IVF INDEPENDENT VERIFICATION FORM
Your 2012 -2013 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called Verification. The law says before awarding Federal Student Aid, we
may ask you to confirm the information you reported on your FAFSA. To verify you provided correct information the financial aid administrator at your school will compare your
FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected. You must
complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school. Your school
may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible so your financial aid will not be delayed.
ID # (MUST start with A)
First Name MI Last Name
Street
City ZIP
Phone E-mail
B. INDEPENDENT STUDENT'S FAMILY INFORMATION
List the people in your household below:
Include: Yourself
Your spouse, if married
Your children, if any, that you will provide more than half of their support from July 1, 2012, through June 30, 2013, or if
the child would be required to provide your information if they were completing a FAFSA for 2012 -2013. Include
children who meet either of these standards, even if they do not live with you.
Other people if they now live with you and you provide more than half of their support and will continue to provide more
than half of their support through June 30, 2013.
Include the name of the college for any household member who will be enrolled at least half time, in a degree, diploma, or certificate program at a
postsecondary educational institution any time between July 1, 2012, and June 30, 2013.
Full Name Age Relationship College 6+ credits
State
SSN
Date of Birth
Alabama
Did you or your spouse, if married, paid child support in 2011?
If yes, indicate below the following:
Name who paid the child support Child's Name whom support was paid Yearly Amount Paid
Did someone in the student's household (listed in Section B) received benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly
known as food stamps) any time during the 2010 or 2011 calendar years?
C. INDEPENDENT STUDENT'S OTHER INFORMATION TO BE VERIFIED
D. INDEPENDENT STUDENT'S TAX INFORMATION TO BE VERIFIED
Did you file / will file a 2011 tax return?
IMPORTANT INFORMATION: If you (or your spouse, if married) filed, or will file, an amended 2011 IRS tax return, you must contact your financial aid
administrator before completing this section.
The best way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA online. If you have not already used the tool, go to
FAFSA.gov, log in to 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 2011 IRS income tax information into your FAFSA.
It takes up to two weeks for IRS income information to be available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and up to eight
weeks for paper IRS tax return filers. If you need more information about when, or how to use the IRS Data Retrieval Tool see your financial aid
administrator.
I, the student (and spouse, if married)....
Complete the section below ONLY if you were employed in 2011 AND DID NOT file a 2011 tax return. You MUST provide
documentation of all monies earned (i.e. copy of W-2).
Employer's Name Total Amount Earned in 2011 Received a W-2
D. Certifications and Signature
Electronic Signature Agreement. By providing your full student ID # below and by selecting the "I Accept" button, you are signing this
Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Verification Form.
By selecting "I Accept" you consent that all of the information reported on the Independent Verification Worksheet is complete and
correct. WARNING: If you purposely give false or misleading information on the worksheet, you may be fined, be sentenced to jail, or
both. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action,
constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing.
I Accept
ID # (MUST start with A)
Enter Full Name