Financial Aid Document Upload:
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*Your application was selected for review in a process called “verification”. Verification is a process governed by U.S. Department of Education, Federal and or NJ State regulations to ensure that
information reported on the Free Application for Federal Student Aid (FAFSA) or NJ Alternative Financial Aid Application was reported accurately and if not, your application must be corrected.
During this process the Financial Aid Office will compare information from your 2021-2022 FAFSA application results, the below information and copies of 2019 IRS Federal Income Tax Return
Transcripts and W-2’s from all employers, including other documents if requested. Note: IRS Tax information retrieved using the FAFSA’s Internal Revenue Service (IRS) Data Retrieval Tool process
may be considered acceptable documentation (if not subsequently changed) for IRS-related information and your Federal Tax Return Transcript will not be required.
Additionally, the law also requires that all requested it items are received, prior to the disbursement and preferably before awarding Federal aid. If there are differences between your application information
and your financial documents, County College of Morris will make corrections or direct the student to do so. In addition, to understanding that if registered for courses not applicable to my current major,
I am responsible for payment out of pocket.
Attention: Complete file is required for financial aid eligibility determination. Please read and complete all sections below, do not forget to sign on completion.
SECTION A: NEW JERSEY STATE HIGHER EDUCATION STUDENT ASSISTANCE AUTHORITY INFORMATION
~~ Additional Questions and or documents required by HESAA to determine STATE Aid. (Enter N/A or “$0” if not applicable- Do NOT leave BLANK) ~~
Attention! NJ State Applicant Information Request (AIR) Recipient’s It is strongly recommended that students respond directly to the State requests for additional
information, ensuring processing to determine eligibility for grant and or scholarship (EOF, TAG, CCOG, NJ STARS, etc.).
Students may login to https://njfams.hesaa.org | Report Additional Information for State Aid | https://www.hesaa.org/Pages/NJGrantsForms.aspx
Driver’s License
(check one)
Yes [ ] or No [ ]
Issuing State:
1. Will you have your Associate’s degree before you begin the 2021-2022 school year? Yes [ ] or No [ ]
2. Veterans Educational Benefits if received Yes [ ] or No [ ]
Monthly $
No. of months:
Refer to your filed IRS Income Tax Return for the below:
(Include spouse if filed separately)
3. 2019 Untaxed Social Security Benefits received:
Parent $
Student $
Spouse $
4. 2019 Taxable Social Security Benefits received:
Parent $
Student $
Spouse $
5. 2019 Earned Income Tax Credits received:
Parent $
Student $
Spouse $
6. 2019 Unemployment Compensation Amount Received
Parent $
Student $
Spouse $
7. IRS Form 5329 Amount
Parent $
Student $
Spouse $
SECTION B: HOUSEHOLD INFORMATION
List the people in your household. Write the names of the college for any household member, excluding your parent(s), who will be attending a degree, diploma or an approved
certificate program in college at least half time between July 1, 2021 and June 30, 2022.
DEPENDENT STUDENTS - INCLUDE:
INDEPENDENT STUDENTS - INCLUDE:
Yourself, even if you don’t live with your parent(s)
Your parent(s) (including step-parent if remarried)
Your parents other children if (a) your parents will provide more than half of their support between July 1, 2021
and June 30, 2022, or (b )the children could answer No to every question in Step 3 of the FAFSA
Other people if they now live with your parent(s), your parents provide more than half of their support and will
continue to provide more than half of their support between July 1, 2021 and June 30,th 2022.
Yourself (and your spouse)
Your children, if you will provide more than half of their support
between July 1, 2021 and June 30,th 2022
Other people if they now live with you, you provide more than half of
their support and you will continue to provide more than half of their
support between July 1, 2021 and June 30,th 2022.
NAME RELATIONSHIP AGE ATTENDING COLLEGE NAME
1.
Self
County College of Morris
2.
3.
4.
5.
6.
SECTION C: TAX FILERS MUST PROVIDE IRS TAX INFORMATION (3 OPTIONS)
Option 1). If you did NOT retrieve and transfer your (and your spouse’s, if married), and/or your parent(s)’ income tax return information using the IRS Data Retrieval Process when
initially completing the FAFSA on the Web, you can make corrections using FAFSA on the Web at www.fafsa.ed.gov to subsequently transfer this information. If we receive a corrected
FAFSA indicating that the transfer was successful, the 2019 IRS FEDERAL TAX RETURN TRANSCRIPT document request for you (and your spouse, if married) and/or your parent(s)
will be removed. Check Financial Aid Online to check the status of this requirement.
Option 2). If you did not utilize the IRS Data Retrieval process, submit a copy of your 2019 FEDERAL TAX RETURN TRANSCRIPT. To request a copy of your 2019 FEDERAL TAX
RETURN TRANSCRIPT from the Internal Revenue Service, call (800) 908-9946 or visit to www.IRS.gov, you may also request at your local IRS O
ffice or Tax Agency for a copy.
AMENDED TAX RETURN: Filers must provide a copy of their 2019
(a)
FEDERAL TAX ACCOUNT TRANSCRIPT and
(b)
FEDERAL TAX RETURN TRANSCRIPT.
Option 3). Check; Student | Spouse | Parent: If “Unsuccessful in your Attempt” to obtain an IRS Tax Transcript online. Submit a print screen of your attempt, along with your
signed, self-filed or Tax Agency copy to us (required).
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DEPENDENT
INDEPENDENT
2021-2022 Verification Worksheet
Student Name
CCM ID#
2021-2022 VERIFICATION WORKSHEET
Student’s Name:
CCM ID#:
SECTION D: NON-TAX FILERS MUST NOT LEAVE BLANK (enter -$0.00 if applicable)
If you, your parent(s), and/or your spouse did not file and are not required to file a 2019 U.S. Federal Income Tax Return, you must list below all employers and any income
received in 2019 for you, your parent(s), and/or your spouse. If you did not file a tax return and are required to as stated in IRS Publication 17, your financial aid file will be incomplete
until you file and submit a copy of your IRS Tax Transcript. *Attention: Non-filers are required to obtain ‘proof of not filing’ from the IRS. If unsuccessful, submit to our office your
signed non-filing statement or check box below (required)).
Attach copies of all 2019 W-2 forms issued to you. List every employer in “Source of Income” even if the employer did not issue an IRS W-2 form. Attention: Request your W-2 from the
IRS, if you misplaced your employers issued copy.
Check the appropriate box(s) below 2019 ANNUAL AMOUNT SOURCE OF INCOME
Student |
Spouse |
Parent: *Unsuccessful with obtaining IRS Non-filing proof.
Check here if you (the Student) will not file and are not required to file a 2019 federal
income tax return. Report the amount you earned and source of your 2019 income.
$
$
$
Use this space to explain why you have not included a W2 Form
Check here if your Spouse will not file and is not required to file a 2019 federal income
tax return. Report the amount earned and source of 2019 income.
$
$
$
Use this space to explain why you have not included a W2 Form
Example Paid cash and or check and or other.
Dependent students: Check here if your parent(s) will not file and are not required to
file a 2019 federal income tax return. Report the amount earned and source of 2019
income, benefits and in-kind support (monies received or bills or items/goods paid on
your behalf by someone else or agency) received.
$
$
$
Use this space to explain why you have not included a W2 Form
Example Paid cash and or check and or other.
SECTION E: ADDITIONAL FINANCIAL INFORMATION (enter -$0.00 if applicable)
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 2019 or 2020 calendar years.
One of the persons listed in Section B of this worksheet received SNAP benefits in 2019 or 2020. If asked by the student’s school, I will provide documentation of the receipt
of SNAP benefits during 2019 and/or 2020.
2. Complete this section if one of the student’s parents paid or received child support in 2019.
One (or both) of the student’s parents listed in Section B of this worksheet paid or received child support in 2019. The parent has indicated below the name of the person who
paid or received the child support, the name of the person to whom the child support was paid or received, the names of the children for whom child support was paid or received,
and the total annual amount of child support that was paid or received in 2019 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. Indicate your name and CCM ID# (preferred) or Social Security Number (optional) at the top of each page.
3. Complete this section if you or your spouse, if married paid or received child support in 2019.
Either I, or if married my spouse who is listed in Section B of this worksheet, paid or received child support in 2019. I have indicated below the name of the person who paid or
received the child support, the name of the person to whom the child support was paid or received, the names of the children for whom child support was paid or received, and
the total annual amount of child support that was paid or received in 2019 for each child. If asked by my school, I will provide documentation of the payment of child support.
If you need more space, attach a separate page. Indicate your name and CCM ID# (preferred) or Social Security Number (optional) at the top of each page.
Name of Person
Who Paid Child Support in 2019
Name of Person
to Whom Child Support was Paid in 2019
Name of Child
for Whom Support Was Paid in 2019
Total Amount of Child Support
Paid in 2019
(January – December)
Marty Jones (example)
Chris Smith (example)
Terry Jones (example)
$6,000.00 (example)
1. $
2. $
3. $
4. $
CERTIFICATION: By signing or electronically signing, typing my name in full below. I acknowledge and confirm that the above information is complete and correct. I further understand that if I
purposely give false or misleading information on this worksheet as is associated with my completed FAFSA, I may be fined, sentenced to jail, or both as per Federal Student Aid. If parent’s income is
included on this form or processed FAFSA, at least one parent must sign below.
Student:
Spouse (optional):
Date:
Parent(Dependent students):
Date:
Upload to CCM MappingXpress, submitting this signed worksheet and copies of required supporting document’s (CCM Id# on all pages) to the County College of Morris, Financial Aid Office.
~~~ Make a copy of this worksheet for your records ~~~
CCM FAA 11-23-2020
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