Student’s Name _______________________________ Student’s ID Number _____________
Page 1 of 8
Updated January, 2020
Verification information
What is verification and why was I selected?
Verification is the process by which certain required information on the FAFSA is reviewed for accuracy
and completeness.
Students are selected for verification for one of the following reasons:
The Department of Education Central Processing System found inconsistencies and/or potential
errors in the student’s FAFSA
Random selection
School selection
Steps to complete verification:
Complete all required sections of this worksheet, sign it, and send the completed worksheet along
with any supporting documentation to the Office of Student Financial Aid.
The Office of Student Financial Aid will notify you via your Edison email account if there is additional
documentation needed or any other questions to be answered.
The Office of Student Financial Aid cannot process your financial aid package and
determine your aid eligibility until verification has been completed, so it is imperative that
you provide the required documents as soon as possible.
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Section 1 - Student Information
____________________________________________ ____________________________
Student’s Last Name First Name M.I. Student’s Social Security Number
_____________________________________________ ____________________________
Student’s Street Address (include apt. no.) Student’s Date of Birth
_____________________________________________ ____________________________
City State Zip Code Student’s Email Address
_____________________________________________ ____________________________
Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number
STUDENT INFORMATION
V5-D: 2020-2021 DEPENDENT STUDENT
Aggregate Verification Worksheet
Student’s Name _______________________________ Student’s ID Number _____________
Page 2 of 8
Updated January, 2020
*** ONLY Complete this section if the student did file or will file a 2018 Federal
Tax Return.
The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA
on the Web at FAFSA.gov. In most cases, no further documentation is needed to verify 2018 income
information that was transferred into the student’s FAFSA using the IRS DRT if that information was not
changed by the FAFSA filer.
Check all that apply:
The Student has used the IRS DRT in FAFSA on the Web to transfer 2018 IRS income tax return
information into the student’s FAFSA.
The Student was unable or chose not to use the IRS DRT in FAFSA on the Web, and instead must
provide the school with a signed copy of their 2018 IRS 1040 that was submitted to the IRS,
including Schedules 1, 2, and 3 if applicable.
(If you do not have a copy of your 2018 IRS 1040, a 2018 IRS Tax Return Transcript may be
obtained within 10 business days through:
Automated Telephone Request Call the IRS at 1-800-908-9946.
On-line Request - Go to www.IRS.gov, under the Tools heading on the IRS homepage, click “Get
a Tax Transcript.” Click “Get Transcript by MAIL” or “Get Transcript ONLINE.” Make sure to
request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” To use
the Get Transcript ONLINE tool to get immediate tax transcript access, the user must have access
to valid email address, a text-enabled mobile phone, and specific financial account numbers such
as a credit card number.
Paper Request Form - IRS Form 4506T-EZ or IRS Form 4506-T.)
DEPENDENT STUDENT TAX FILERS:
2018 IRS Income Tax Return Information
Student’s Name _______________________________ Student’s ID Number _____________
Page 3 of 8
Updated January, 2020
*** ONLY Complete this section if the student will not file and is not required to
file a 2018 income tax return with the IRS.
Check all that apply:
The student was not employed and had no income earned from work in 2018.
The student was employed in 2018 and has listed below the names of all employers, the amount
earned from each employer in 2018, and whether an IRS W-2 form is provided. [Provide copies of
all 2018 IRS W-2 forms issued to the student by their employers]. List every employer even if the
employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Employer’s Name
2018 Amount
Earned
IRS W-2 Provided?
Suzy’s Auto Body Shop (example)
$2,000.00
Yes
By signing the verification document below, the student is certifying that he/she did not file and was
not required to file a 2018 income tax return.
DEPENDENT STUDENT NON TAX FILERS:
2018 Income Information
Student’s Name _______________________________ Student’s ID Number _____________
Page 4 of 8
Updated January, 2020
*** ONLY Complete this section if the parent(s) did file or will file a 2018
Federal Tax Return. This section applies to each parent included in the
household.
The best way to verify income is by using the IRS Data Retrieval Tool (IRS DRT) that is part of FAFSA
on the Web at FAFSA.gov. In most cases, no further documentation is needed to verify 2017 IRS income
tax return information that was transferred into the student’s FAFSA using the IRS DRT if that
information was not changed by the FAFSA filer.
Note: If the parents filed separate 2018 IRS income tax returns, the IRS DRT cannot be used and signed
copies of the parent 2018 IRS 1040 Federal Tax Return must be provided for each.
Check all that apply:
My parents have used the IRS DRT in FAFSA on the Web to transfer 2018 IRS income tax return
information into the student’s FAFSA.
My parents were unable or chose not to use the IRS DRT in FAFSA on the Web, and instead must
provide the school with a signed copy of their 2018 IRS 1040 that was submitted to the IRS,
including Schedules 1, 2, and 3 if applicable.
My parents filed separate IRS income tax returns for 2018 and have provided signed copies of 2018
IRS Federal Tax Returns for each parent in the household.
My parents had a change in marital status after December 31, 2018.
(If you do not have a copy of your 2018 IRS 1040, a 2018 IRS Tax Return Transcript may be obtained
within 10 business days through:
Automated Telephone Request Call the IRS at 1-800-908-9946.
On-line Request - Go to www.IRS.gov, under the Tools heading on the IRS homepage, click “Get
a Tax Transcript.” Click “Get Transcript by MAIL” or “Get Transcript ONLINE.” Make sure to
request the “IRS Tax Return Transcript” and NOT the “IRS Tax Account Transcript.” To use
the Get Transcript ONLINE tool to get immediate tax transcript access, the user must have access
to valid email address, a text-enabled mobile phone, and specific financial account numbers such
as a credit card number.
Paper Request Form - IRS Form 4506T-EZ or IRS Form 4506-T.)
PARENT TAX FILERS:
2018 IRS Income Tax Return Information
Student’s Name _______________________________ Student’s ID Number _____________
Page 5 of 8
Updated January, 2020
*** ONLY Complete this section if the parent(s) will not file and are not
required to file a 2018 income tax return with the IRS. This section applies to
each parent included in the household.
Check all that apply:
Neither parent was employed and neither had income earned from work in 2018.
One or both parents were employed in 2018 and have listed below the names of all
employers, the amount earned from each employer in 2018, and whether an IRS W-2 form is
provided. [Provide copies of all 2018 IRS W-2 forms issued to the parents by their employers].
List every employer even if the employer did not issue an IRS W-2 form.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Parent’s Name
2018 Amount
Earned
IRS W-2
Provided?
$2,000.00
Yes
Each parent non-tax filer has provided the required Official Verification of Non-filing Letter from
the IRS, dated on or after October 1, 2018, that indicates a 2018 IRS income tax return was not filed.
By signing the verification document and providing proof of non-filing, the parent(s) certify they
were not required to file a 2018 IRS income tax return. Note: Official verification of non-filing can
be obtained from the IRS by the same methods used to obtain a tax return transcript.
PARENT NON TAX FILERS:
2018 Income Information
Student’s Name _______________________________ Student’s ID Number _____________
Page 6 of 8
Updated January, 2020
List below ALL of the people in the parents’ household. Include:
The student.
The parents (including a stepparent) even if the student doesn’t live with the parents.
The parents’ other children if the parents will provide more than half of their support from July 1,
2020, through June 30, 2021, or if the other children would be required to provide parental
information if they were completing a FAFSA for 2020-2021. Include children who meet either of
these standards even if a child does not live with the parents.
Other people if they now live with the parents and the parents provide more than half of their
financial support and will continue to provide more than half of their financial support through June
30, 2021.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Full Name
Age
Relationship
Name of College
(if applicable)
Will be
Enrolled at
Least Half
Time?
(Yes or No)
Self
Note: We may require additional documentation if we have reason to believe that the information
regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate.
HOUSEHOLD SIZE
(Required Section)
Student’s Name _______________________________ Student’s ID Number _____________
Page 7 of 8
Updated January, 2020
Provide one of the following documents that indicate the student’s high school completion status when
the student will begin college in 2020-2021.
Check the box that applies:
My official high school transcript, noting graduation date, was previously submitted to Edison
State Community College.
My official high school transcript, noting graduation date, is attached. (The transcript must
remain in sealed envelope as received from the school.)
My official General Educational Development (GED) transcript and test scores proving
graduation was previously submitted to Edison State Community College.
My official General Educational Development (GED) transcript and test scores proving
graduation, is attached. (The transcript and test scores must remain in sealed envelope as
received from the agency.)
My official homeschool transcript, signed by the student's parent or guardian, listing the
secondary school courses and grades the student completed and documents the successful
completion of a secondary school education in a homeschool setting was previously submitted
to Edison State Community College.
My official homeschool transcript, signed by the student's parent or guardian, listing the
secondary school courses and grades the student completed and documents the successful
completion of a secondary school education in a homeschool setting is attached.
I understand I must meet with Financial Aid Counselor to present a valid (not expired)
government-issued photo identification as part of the verification process. (A valid government-
issued photo ID includes but is not limited to a driver’s license, state ID, or passport.)
I understand I must meet with a Financial Aid Counselor to sign a statement certifying the federal
financial aid received will only be used for educational purposes to pay the cost of attending the
institution for 2020-2021.
IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE
(Required Section)
HIGH SCHOOL COMPLETION STATUS
(Required Section)
Student’s Name _______________________________ Student’s ID Number _____________
Page 8 of 8
Updated January, 2020
Each person signing below certifies that all of the
information reported is complete and correct.
The student and each parent whose information
was reported on the FAFSA must sign and date.
________________________________________ ________________________
Student’s Signature Date
________________________________________ ________________________
Parent 1’s Signature Date
________________________________________ ________________________
Parent 2’s Signature Date
Do not mail this worksheet to the U.S. Department of Education
Submit this worksheet to:
Edison State Community College
Office of Student Financial Aid
1973 Edison Dr.
Piqua, OH 45356
CERTIFICATIONS AND SIGNATURES
(Required Section)
WARNING: If you purposely give
false or misleading information
on this worksheet, you may be
fined, sent to prison, or both.
click to sign
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