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Office of Financial Aid  Wooster, Ohio 44691  330/263-2317  800/877-3688
Fax 330/263-2634  email: financialaid@wooster.edu  www.wooster.edu
2020-2021 Verification Worksheet – DEPENDENT STUDENT
A.
Studen t’s In for mation
Student’s Name Student’s Social Security Number Student’s Date of Birth
Student’s Street Address (include apt. no.) Student’s Primary Phone N
umber
City, State, Zip Code Student’s Alternate or Cell Phone Number
Student Activities/leadership positions Student’s Occupational Go
als
Parent 1 Occupation Parent 2 Occupation
B.
Studen t’s Household Information
In the chart below include:
Yourself
Your parent(s) (including step-parent); do not include your non-custodial parent
Your parents’ other dependent children if your parent(s) will provide more than half of their support from July 1, 2020 throug
h
Ju
ne 30, 2
021
Ot
her people only if they live with your parent(s) and your parent(s) will provide more than half of their support from July 1
,
2
020 through June 30, 202
1
C
ollege information for those students attending at least half-time or more during 2020-2021 in a program leading to a degree,
diploma, or certificate [full time: F/T; half time: H/T
]
Please add line
s for other family members, if necessary
Full
Name
Date of
Birth
Relationship t
o student
School/College in 2020-20
21
Grade
Level in
2020-2021
*
F/T
H/T
1. student: Yourself Wooster
2.
3.
4.
5.
*Codes for Grade Level past high school:
0 = 1
st
year/never attended 2 = 2
nd
year/sophomore 4 = 4
th
year/senior 6 = 1
st
year grad/prof school
1 = 1
st
year/attended 3 = 3
rd
year/junior 5 = 5
th
year/undergrad 7 = Continuing grad/prof school
Your 2020–2021 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 must 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
whose information was reported on the FAFSA must complete and sign this institutional 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.
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Office of Financial Aid  Wooster, Ohio 44691  330/263-2317  800/877-3688
Fax 330/263-2634  email: financialaid@wooster.edu  www.wooster.edu
C. Student’s Inco me Infor ma tion
DO NOT COMPLETE BOTH SECTIONS. Only complete Section 1 OR Section 2.
SECTION 1 – Student Filed 2018 Federal IRS Income Tax Return
SECTION 2 – Student DID NOT File a 2018 Federal IRS Income Tax Return
The student was NOT EMPLOYED and had NO INCOME earned from work in 2018.
The student was employed in 2018 and earned income, but was NOT REQUIRED to, and DID NOT, file a 2018
federal income tax return. The student will verify this by completing ALL of the following:
1. Completing the grid below. List the names of all the students employers, the amount earned from each employer in 2018,
and whether an IRS W-2 form was received.
2. Submitting copies of all 2018 IRS W-2 forms issued to the student’s employers to the Financial Aid Office.
Employer’s Name 2018 Amount Earned Did You Receive a W-2?
Suz
y
’s Auto Bod
y
Shop (example) $2,000.00 (example) Yes (example)
Check only the box that applies:
The student has used the IRS Data Retrieval Tool (DRT) in FAFSA on the Web to transfer 2018 IRS income
tax return information into the student’s FAFSA.
The student has not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2018 IRS
income tax return information into the student’s FAFSA.
The student is unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead will provide the Financial
Aid Office with a SIGNED copy of their 2018 Federal Tax Return (1040 including all schedules).
If the student filed a federal IRS income tax retur
fo
r
2018, complete Section 1 only.
If the student DID NOT file a federal income tax return for 2018, complete Section 2 only.
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Office of Financial Aid  Wooster, Ohio 44691  330/263-2317  800/877-3688
Fax 330/263-2634  email: financialaid@wooster.edu  www.wooster.edu
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Check only the box that applies:
The parents were NOT EMPLOYED and had NO INCOME earned from work in 2018. The parents will verify this by
submitting a Verification of Non-Filing Letter from the IRS to the Financial Aid Office,
The parents were employed in 2018 and earned income, but were NOT REQUIRED to, and DID NOT, file a 2018 federal
income tax return. The parents will verify this by completing ALL of the following:
1. Completing the grid below. List the names of all the parents’ employers, the amount earned from each employer in 2018,
and whether an IRS W-2 form was received.
2. Submitting copies of all 2018 IRS W-2 forms issued to the parents’ employers to the Financial Aid Office.
3. Submitting a Verification of Non-Filing Letter from the IRS to the Financial Aid Office.
Employer’s Name
2018 Amount Earned
Did You Receive a W-2?
Suzy’s
A
uto Body Shop (example) $2,000.00 (example) Yes (e
x
ample)
D. Parent Income Information
DO NOT COMPLETE BOTH SECTIONS. Only complete Section 1 OR Section 2.
SECTION 1 – Parent(s) Filed 2018 Federal IRS Income Tax Return
SECTION 2 – Parent(s) DID NOT File a 2018 Federal IRS Income Tax Return
Check only the box that applies:
The parents have used the IRS Data Retrieval Tool (DRT) in FAFSA on the Web to transfer 2018 IRS income
tax return information into the student’s FAFSA.
The parents have not yet used the IRS DRT in FAFSA on the Web, but will use the tool to transfer 2018 IRS
income tax return information into the student’s FAFSA.
The parent(s) is unable or chooses not to use the IRS DRT in FAFSA on the Web, and instead will provide the
Financial Aid Office with a SIGNED copy of their 2018 Federal Tax Return (1040 including all schedules).
If the parent(s) filed a federal IRS income tax return fo
r
2018, complete Section 1 only.
If the parent(s) DID NOT file a federal income tax return for 2018, complete Section 2 only.
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Office of Financial Aid  Wooster, Ohio 44691  330/263-2317  800/877-3688
Fax 330/263-2634  email: financialaid@wooster.edu  www.wooster.edu
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E. Certifications and Signatures
The student and one parent whose information was reported on the FAFSA must sign and date. Each
person signing below certifies that all of the information reported is complete and correct.
Print Student’s Name
Student’s Si
g
nature Date
Parent’s Si
g
nature Date
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