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/or your spouse.
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 and/or your LEONet account - "To Do List".
2. Complete and sign this worksheet.
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
Independent
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
Student's Family Information
List below the people in your household, Include:
• Yourself and your spouse if you are married. (Do not include spouse if you are separated)
Your children, if any, if you will provide more than half of their support from July 1, 2016 through June 30, 2017, or if the child
would be required to provide your 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 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, 2017.
Phone: (985) 549-2244
Fax: (985) 549-5077
Office of Financial Aid
SLU 10768
Hammond, LA 70402
Full Name Age
Relationship
to Student
College
Enrolled at Least Half-
Time (Yes or No)
SELF
Southeastern LA Univ.
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LA
Certification and Signatures
I certify that all of the information reported on this worksheet is complete and correct. The student must sign and date this worksheet. If married, the
spouse's signature is optional. 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
Spouse's Signature (optional) Date
Student and/or Spouses Other Information to Be Verified
1. Check below if someone in the student's household received benefits from the Supplemental Nutrition Assistance Program/SNAP (formerly known
as food stamps) any time during the 2014 or 2015 calendar years.
2. Complete below if one of the student and/or spouse paid child support in 2015.
One or more of the persons listed in the Student's 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.
Student and/or spouse listed in the Student's 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. Complete chart below.
University ID (or Social Security Number)
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
Students and/or Spouse's Tax and Financial Information
Check only one box below:
IRS Data Retrieval Tool used when I submitted the FAFSA.
IRS Tax Return Transcript(s) for student and/or spouse included with this form.
Student and/or spouse have ordered an IRS Tax Return Transcript and will submit to school at a later date.
Student and/or spouse were not employed and had no income earned from work in 2015.
Student and/or spouse will not file and are not required to file a 2015 U.S. Income Tax Return. Complete chart below and attach W-2 forms (s)
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.
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