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2019–2020 V1 Verification Worksheet
Dependent Student
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 and your parents reported on your
FAFSA. To verify that you provided correct information the financial aid office at your school will compare your FAFSA with the
information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to
be corrected. You and at least one parent must complete and sign this worksheet, attach any required documents, and submit the
form and other required documents to the financial aid office at your school. YOUR SCHOOL MAY ASK FOR ADDITIONAL
INFORMATION. If you have questions about verification, contact your financial aid officer as soon as possible so that your
financial aid will not be delayed.
A. Dependent Student’s Information
Student’s Last Name Student’s First Name Student’s M.I. Student’s IRSC ID 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
B. Dependent Student’s Family Information
List below the people in your parent(s)’ household. Include:
Yourself and your parent(s) (including a stepparent) even if you don’t live with your parent(s).
Your parent(s)’ other children if your parent(s) will provide more than half of their support from July 1, 2019, through
June 30, 2020, or if the other children would be required to provide parental information if they were completing a FAFSA
for 2019–2020. Include children who meet either of these standards, even if they do not live with your parent(s).
Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will
continue to provide more than half of their support through June 30, 2020.
Include the name of the college for any household member, excluding your parent(s), who will be enrolled, at least half
time in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1,
2019, and June 30, 2020. If more space is needed, attach a separate page with the student’s name and IRSC ID at the
top.
Full Name
Example Missy Jones
Age
Example
18
Relationship
Example Sister
College
Example Central University
Will be Enrolled at
Least Half Time
Example Yes or No
Student’s Name: IRSC ID:
C. Dependent Student’s Income Information to Be Verified
1. TAX RETURN FILERS—Important Note: If the student filed, or will file, an amended 2017 IRS tax return, the student must
contact the financial aid office before completing this section.
Instructions: Complete this section if the student, filed or will file a 2017 income tax return with the IRS. The best way to
verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If the student has not already used the
tool, go to FAFSA.gov, log in to the student’s FAFSA record, select “Make FAFSA Corrections,” and navigate to the
Financial Information section of the form. From there, follow the instructions to determine if the student is eligible to use the
IRS Data Retrieval Tool to transfer 2017 IRS income tax information into the student’s FAFSA. It takes up to two weeks for
IRS income information to be available for the IRS Data Retrieval Tool for electronic IRS tax return filers, and up to eight
weeks for paper IRS tax return filers. If you need more information about when, or how to use the IRS Data Retrieval Tool see
your financial aid office.
Check the box that applies:
The student has used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2017 IRS income
information into the student’s FAFSA, either on the initial FAFSA or when making a correction to the FAFSA. The
student’s school will use the IRS information that was transferred in the verification process.
The student has not yet used the IRS Data Retrieval Tool in FAFSA on the Web, but will use the tool to retrieve and
transfer 2017 IRS income information into the student’s FAFSA once the student has filed a 2017 IRS tax return (THIS IS
THE BEST OPTION IF YOU HAVE NOT ALREADY USED THE DATA RETRIEVAL TOOL). See instructions
above for information on how to use the IRS Data Retrieval Tool. The student’s school cannot complete the verification
process until the IRS information has been transferred into the FAFSA.
The student is unable or chooses not to use the IRS Data Retrieval Tool in FAFSA on the Web, and the student will submit
to the school a 2017 IRS tax return transcript—not a photocopy of the income tax return. To obtain an IRS tax return
transcript, go to www.IRS.gov and click on the “Get Transcript of Your Tax Records” link, select “ONLINE” or “MAIL”.
Make sure to request the “IRS Tax Return transcript” and not the “IRS Tax Account transcript.” You will need your
Social Security Number, date of birth, and the address on file with the IRS. (Typically this will be the address used when
the 2017 IRS tax return was filed.) It takes up to two weeks for IRS income information to be available for electronic IRS
tax return filers, and up to eight weeks for paper IRS tax return filers.
Check here if the student’s IRS tax return transcript is attached to this worksheet.
Check here if the student’s IRS tax return transcript will be submitted to the student’s school later. Verification
cannot be completed until the IRS tax return transcript has been submitted to the student’s school.
2. TAX RETURN NONFILERS—Complete this section if the student, will not file and is not required to file a 2017 income tax
return with the IRS.
Check the box that applies:
The student was not employed and had no income earned from work in 2017.
The student was employed in 2017 and has listed below the names of all the student’s employers, the amount earned from
each employer in 2017, and whether an IRS W-2 form is attached. Attach copies of all 2017 IRS W-2 forms issued to the
student by employers. List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a
separate page with the student’s name and IRSC ID at the top.
Employer’s Name
Example Suzy’s Auto Body Shop
2017 Amount Earned
Example $2,000.00
IRS W-2 Attached?
Example yes or No
Student’s Name: IRSC ID:
D. Parent’s Income Information to Be VerifiedNote: If two parents were reported in Section B of this worksheet, the
instructions and certifications below refer and apply to both parents.
1. TAX RETURN FILERS—Important Note: If the student’s parent(s), filed or will file, an amended 2017 IRS tax return the
student’s financial aid office must be contacted before completing this section.
Instructions: Complete this section if the student’s parent(s) filed or will file a 2017 income tax return with the IRS. The best
way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If the student’s parent(s) has
not already used the tool, the parent and the student should go to FAFSA.gov, log in to the student’s FAFSA record, select
“Make FAFSA Corrections,” and navigate to the Financial Information section of the form. From there, follow the instructions
to determine if the parent(s) is eligible to use the IRS Data Retrieval Tool to transfer 2017 IRS income tax information into the
student’s FAFSA. It takes up to two weeks for IRS income information to be available for the IRS Data Retrieval Tool for
electronic IRS tax return filers, and up to eight weeks for paper IRS tax return filers. If you need more information about
whether or how to use the IRS Data Retrieval Tool see the student’s financial aid office.
Check the box that applies:
The student’s parent has used the IRS Data Retrieval Tool in FAFSA on the Web to transfer 2017 IRS income information
into the student’s FAFSA, either on the initial FAFSA or when making a correction to the FAFSA. The student’s school
will use the IRS information transferred into the student’s FAFSA to complete the verification process.
The student’s parent has not yet used the IRS Data Retrieval Tool, but will use the tool to transfer 2017 IRS income
information into the student’s FAFSA once the parent’s IRS tax return has been filed (THIS IS THE BEST OPTION IF
YOU HAVE NOT ALREADY USED THE DATA RETRIEVAL TOOL). See instructions above for information on
how to use the IRS Data Retrieval Tool. The student’s financial aid office cannot complete verification until the parent has
transferred IRS information into the student’s FAFSA.
The parent is unable or chooses not to use the IRS Data Retrieval Tool, and the parent will submit to the student’s school a
copy of the parent’s 2017 IRS tax return transcript(s)—not photocopies of the income tax return. To obtain an IRS tax
return transcript, go to www.IRS.gov and click on the “Get Transcript of Your Tax Records” link, select “ONLINE” or
“MAIL”. Make sure to request the “IRS Tax Return transcript” and not the “IRS Tax Account transcript.” You will need
your Social Security Number, date of birth, and the address on file with the IRS. (Typically this will be the address used
when the 2017 IRS tax return was filed.) It takes up to two weeks for IRS income information to be available for electronic
IRS tax return filers, and up to eight weeks for paper IRS tax return filers. If the parents are married, and separate 2017
tax returns were filed, 2017 IRS tax return transcripts must be submitted for each parent
Check here if an IRS tax return transcript(s) is attached to this worksheet.
Check here if IRS tax return transcript(s) will be submitted to the student’s school later. Verification cannot be
completed until the IRS tax return transcript(s) has been submitted to the school.
2. TAX RETURN NONFILERS—Complete this section if the student’s parent(s) will not file and is not required to file a 2017
income tax return with the IRS.
Check the box that applies:
The parent(s) was not employed and had no income earned from work in 2017.
The parent(s) was employed in 2017 and has listed below the names of all the parent’s employers, the amount earned from
each employer in 2017, and whether an IRS W-2 form is attached. Attach copies of all 2017 IRS W-2 forms issued to the
parent(s) by employer(s). List every employer even if they did not issue an IRS W-2 form. If more space is needed, attach a
separate page with the student’s name and IRSC ID at the top.
Employer’s Name
Example (Suzy’s Auto Body Shop)
2017 Amount Earned
Example $2,000.00
IRS W-2 Attached?
Example (Yes or No)
Student’s Name: IRSC ID:
E. Parent’s Other Information to Be Verified
Check the box that applies
1. Complete this section if someone in the student’s parent’s household (listed in Section B) received benefits from the
Supplemental Nutrition Assistance Program or SNAP (formerly known as food stamps) any time during the 2016 or 2017
calendar years.
One of the persons listed in Section B of this worksheet received SNAP benefits in 2016 or 2017. If asked by the student’s
school, I will provide documentation of the receipt of SNAP benefits during 2016 and/or 2017.
Name of person receiving benefits: Total amount received:
2. Complete this section if one of the student’s parents paid child support in 2017.
One (or both) of the student’s parents listed in Section B of this worksheet paid child support in 2017. The parent has
indicated below the name of the person who paid the child support, the name of the person to whom the child support was
paid, the names of the children for whom child support was paid, and the total annual amount of child support that was
paid in 2017 for each child. If asked by the school, I will provide documentation of the payment of child support. If you
need more space, attach a separate page that includes the student’s name and IRSC ID at the top.
Name of Person Who Paid
Child Support
Example (Marty Jones)
Name of Person to Whom Child
Support was Paid
Example (Chris Smith)
Name of Child for
Whom Support
Was Paid
Example (Terry Jones)
Amount of Child
Support Paid in
2017
Example ($6,000)
F. Certification and Signatures
Each person signing this worksheet certifies that all of the
WARNING: If you purposely give false or
information reported on it is complete and correct.
misleading information on this worksheet, you
The student and one parent must sign and date.
may be fined, be sentenced to jail, or both.
Student’s Signature Date
Parent’s Signature Date
Do not mail this worksheet to the U.S. Department of Education.
Submit this worksheet to the financial aid office at your school.
You should make a copy of this worksheet for your records.
click to sign
signature
click to edit
click to sign
signature
click to edit
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