Your – 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 administrator 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
administrator at your school. Your school may ask for additional information. If
you have questions about verification, contact your financial aid administrator
as soon as possible so that your financial aid will not be delayed.
Student
Family Student Income Parent Income SNAP
Child Support
DEPENDENT STUDENT'S FAMILY INFORMATION
List below the people in the parent(s)’ 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 the children’s support from July 1, ,
through June 30, , or if the other children would
be required to provide parental information if they were completing a FAFSA for –. Include children who meet
either of these standards even if the children do not live with the parents.
•Other people if they now live with the parents and the parents
provide more than half of the other people's support and will continue to provide
more than half of their support through June 30, .
Please include information about any household member, excluding the parents, 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,
, and June 30, .
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.
DEPENDENT STUDENT'S INCOME INFORMATION TO BE VERIFIED
TAX RETURN FILER - Complete this section if the student
filed or will file a income tax return
with the IRS.
TAX RETURN NON-FILER - Complete this section if the student
will not file and is not required to file a income
tax return with the IRS.
Important Note: The instructions below apply to the student and spouse, if
the student is married. Notify the financial aid office if the student or spouse
filed separate IRS income tax returns for or
had a change in marital status after the end of the tax
year on December 31, .
Instructions: Complete this section if the student and spouse filed or will
file a IRS income tax return(s).
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 income
information that was transferred into the student’s FAFSA using the IRS DRT if that
information was not changed.
The student has used the IRS DRT in FAFSA on the Web to
transfer 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 IRS
income tax return information into the student’s FAFSA once the IRS
income tax return has been filed.
The student is unable or chooses not to use the IRS DRT
in FAFSA on the Web, and instead will provide the school a IRS Tax Return Transcript(s).
A
IRS Tax Return Transcript may
be obtained through the:
In most cases, for electronic tax return filers,
IRS
income tax return information for the IRS DRT is available within 2–3 weeks after
the
electronic IRS income tax return
has been accepted by the IRS. Generally, for filers of
paper
IRS income tax returns, the
IRS income
tax return information is available for the IRS DRT within 8–11 weeks after the
paper IRS income tax return has been received
by the IRS. Contact the financial aid office if more information is needed about
using the IRS DRT or obtaining an IRS Tax Return Transcript.
Note: We may require you to provide documentation from the IRS that indicates a IRS income tax return was not filed with the IRS.
STUDENT'S OTHER UNTAXED INCOME
To determine the correct annual amount for each item: If you paid or received
the same dollar amount every month in  ,
multiply that amount by the number of months in  
you paid or received it. If you did not pay or receive the same amount each month
in  , add together the amounts you paid
or received each month.
E. Other Untaxed Income
List the amount of other untaxed income not reported and not excluded elsewhere
on this form. Include untaxed income such as workers’ compensation, disability,
Black Lung Benefits, untaxed portions of health savings accounts from IRS Form 1040
Line 25, Railroad Retirement Benefits, etc.
Do not include any items reported or excluded in A – D above. In addition,
do not include student aid, Earned Income Credit, Additional Child Tax Credit, Temporary
Assistance to Needy Families (TANF), untaxed Social Security benefits, Supplemental
Security Income (SSI), Workforce Investment Act (WIA) educational benefits, combat
pay, benefits from flexible spending arrangements (e.g., cafeteria plans), foreign
income exclusion, or credit for federal tax on special fuels.
The student did not receive other untaxed income in  .
The student received other untaxed income in  .
F. Money Received or Paid on Student's Behalf
List any money received or paid on the student’s behalf (e.g., payment of student’s
bills) and not reported elsewhere on this form. Enter the total amount of cash support
the student received in . Include support from
a parent whose information was not reported on the student’s – FAFSA, but do not include support from a parent whose
information was reported. For example, if someone is paying rent, utility bills,
etc., for the student or gives cash, gift cards, etc., include the amount of that
person's contributions unless the person is the student’s parent whose information
is reported on the student’s – FAFSA.
Amounts paid on the student’s behalf also include any distributions to the student
from a 529 plan owned by someone other than the student or the student’s parents,
such as grandparents, aunts, and uncles of the student.
The student did not receive any additional money on their
behalf in  .
The student received additional money on their behalf in  .
PARENT'S INCOME INFORMATION
TAX RETURN FILER - Complete this section if the parent
filed or will file a income tax return
with the IRS.
TAX RETURN NON-FILER - Complete this section if the parent
will not file and is not required to file a income
tax return with the IRS.
Important Note: The instructions below apply to each parent included in the
household. Notify the financial aid office if the parents filed separate IRS income
tax returns for or had a change in marital
status after the end of the tax year on
December 31, .
Instructions: Complete this section if the parents filed or will file
a IRS income tax return(s). 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 income information
that was transferred into the student’s FAFSA using the IRS DRT if that information
was not changed.
The parents have used the IRS DRT in FAFSA on the Web to
transfer 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 IRS
income tax return information into the student’s FAFSA once the IRS
income tax return has been filed.
The parents are unable or chooses not to use the IRS DRT
in FAFSA on the Web, and instead will provide the school a IRS
Tax Return Transcript(s).
A
IRS Tax Return Transcript may
be obtained through the:
In most cases, for electronic tax return filers,
IRS
income tax return information for the IRS DRT is available within 2–3 weeks after
the
electronic IRS income tax return has
been accepted by the IRS. Generally, for filers of
paper
IRS income tax returns, the
IRS income
tax return information is available for the IRS DRT within 8–11 weeks after the
paper IRS income tax return has been received
by the IRS. Contact the financial aid office if more information is needed about
using the IRS DRT.
If the parents filed separate IRS income
tax returns, IRS Tax Return Transcripts
must be provided for both.
Note: We may require you to provide documentation from the IRS that indicates a IRS income tax return was not filed with the
IRS.
PARENTS'S OTHER UNTAXED INCOME
To determine the correct annual amount for each item: If you paid or received
the same dollar amount every month in  ,
multiply that amount by the number of months in  
you paid or received it. If you did not pay or receive the same amount each month
in  , add together the amounts you paid
or received each month.
E. Other Untaxed Income
List the amount of other untaxed income not reported and not excluded elsewhere
on this form. Include untaxed income such as workers’ compensation, disability,
Black Lung Benefits, untaxed portions of health savings accounts from IRS Form 1040
Line 25, Railroad Retirement Benefits, etc.
Do not include any items reported or excluded in A – D above. In addition, do not
include student aid, Earned Income Credit, Additional Child Tax Credit, Temporary
Assistance to Needy Families (TANF), untaxed Social Security benefits, Supplemental
Security Income (SSI), Workforce Investment Act (WIA) educational benefits, combat
pay, benefits from flexible spending arrangements (e.g., cafeteria plans), foreign
income exclusion, or credit for federal tax on special fuels.
The student's parent(s) did not receive other untaxed income
in  .
The student's parent(s) received other untaxed income in  .
- Complete all of the required information and then use the Print button below to print the form.
- You and at least one parent must sign the printed form.
- Once you have fully completed and printed the form, use the Submit button below.
- Submit the printed/signed copy along with any other required documentation (e.g., IRS Tax Return Transcript(s) or W-2(s)) to the Financial Aid Office.
WARNING: If you purposely give false or misleading information on this worksheet,
you may be fined, be sentenced to jail, or both.
By signing this Verification Worksheet, we certify that all of the information reported is complete and correct.
Student SignatureDate
Parent SignatureDate