What You Should Do:
1. Complete and sign this worksheet - you and at least one parent
must sign.
2. Submit the completed worksheet, W-2 and/or 1099 and a copy of
a "Verification of Non-filing Letter" from the IRS.
3. After a financial aid representative reviews your information, you
could be asked to submit additional documentation.
SOUTHEASTERN LOUISIANA UNIVERSITY
2018-19 Verification of Income for Non-Tax Filers
Dependent
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
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 was not employed and had no income earned from work in 2016.
I will not file and am not required to file a 2016 U.S. Income Tax Return. Complete chart below and attach W-2 and/or 1099 and a "Verification of
Non-Filing Letter" from the IRS obtained at www.irs.gov/individuals/get-transcipt
Employer's Name
2016 Amount
Earned
W-2 and/or 1099 Attached
(Yes or No)
Parent(s) Tax and Financial Information
Check only one box below:
My parent(s) were not employed and had no income earned from work in 2016.
My parent(s) will not file and are not required to file a 2016 U.S. Income Tax Return. Complete chart below and attach W-2 Forms and/or 1099
Forms and a "Verification of Non-Filing Letter" from the IRS obtained at www.irs.gov/individuals/get-transcipt
Employer's Name
2016 Amount
Earned
W-2 and/or 1099 Attached
(Yes or No)
"Verification of Non-Filing
Letter" from IRS
(Yes or No)
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
