What You Should Do:
1. Complete and sign this worksheet.
2. Submit the completed worksheet, W-2 and/or 1099 and "Verification of Non-Filing Letter" from the IRS obtained at
www.irs.gov/individuals/get-transcript to the Office of Financial Aid.
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
Independent
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
Students and/or Spouse's Tax and Financial Information
Check only one box below:
Student and/or spouse were not employed and had no income earned from work in 2016.
Student and/or spouse will not file and are not required to file a 2016 U.S. Income Tax Return. Complete chart below and attach
W-2(s) and/or 1099 and "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
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
