Alvin Community College
2019-2020 Verification of FAFSA Information
Group 1 - Independent
Page 1 of 2
Updated 1/17/2019
Your 2019-2020 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before
awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information, we
will compare your FAFSA with the information on this institutional verification document and with any other required documents. If there are differences,
your FAFSA information
may need to be corrected. You and a parent or spouse (if applicable), whose information was reported on the FAFSA, must complete
and sign this verification document, attach any required documents, and submit the form and other required documents to us. We may ask for additional
information. If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.
Additional documentation may be required to support the information provided on this form.
Student’s Information
____________________________________________ ________________________ ____________________________
Student’s Last Name First Name M.I. Student’s ACC ID Number Student’s Phone Number
___________________________________________________________________________________________________________
Student’s Street Address (include apt. no.) City/State/Zip Code
Student Household Information
List below the people in the student’s household. Include:
The student.
The student’s spouse, if the student is married
.
The student’s or spouse’s children, if the student or spouse will provide more than half of their support from July 1, 2019, through
June 30, 2020, even if the children do not live with the student.
Do not include children for which you or your spouse pay child
support.
Other people, if they now live with the student, and the student or spouse provides more than half of their support, and will continue
to provide more than half of their support through June 30, 2020.
For household members NOT attending college during the 2019-2020 year, please write “NA” in the college/university column. OR,
for household member who will be enrolled at least half time
in a degree, diploma, or certificate program at an eligible postsecondary
educational institution any time between July 1, 2019, and June 30, 2020, include the name of the college. If more space is needed,
provide a separate page with the student’s name and ID number at the top.
Full Name Age Relationship
Will be enrolled
in college?
(Yes or No)
If yes, which college/university?
Missy Jones (example)
20
daughter
Yes
Alvin Community College
Self
Yes
Alvin Community College
Note: We may require additional documentation regarding the household members listed.
Student’s Name _______________________________ Student’s ACC ID Number ________________ V1 – I
Page 2 of 2
Updated 1/17/2019
Student Income Information
Did you (or your spouse if applicable) file a 2017 tax return?
YES -- Please check a box below.
The student (and spouse) filed a 2017 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The student (and spouse) filed a 2017 tax return and did not use, or were unable to use, the IRS Data Retrieval Tool to
complete the FAFSA. Please submit signed copies of your (and your spouse’s) 2017 IRS Tax Return. All W2s, 1099s,
worksheets, and schedules must be included.
NO -- Please check a box below. Please submit a 2017 Verification of Non-filing from the IRS. Please see “How to Provide Tax
Information for Financial Aid” (available on our website) for assistance.
The student (and spouse) did not work and had no income for 2017.
The student (and spouse) worked or had other income in 2017, but did not and were not required to file a tax return. List
below the names of all employers, the amount earned from each employer in 2017, and submit a 2017 W2/1099 for
each employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
2017 Amount Earned
IRS W-2 Provided?
$2,000.00
Yes
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
________________________________________ ________________________
Student’s Signature Date
________________________________________ ________________________
Spouse’s Signature (if applicable) Date
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
Financial Aid Office
Fax: 281-756-3840
fa@alvincollege.edu
Only
complete
this box if
you did NOT
file taxes.