It takes a minimum of 5 to 10 days for all Verification forms and documentations to be reviewed. A. Student's InformationStudent Name(Required) First Middle Initial Last Student's Social Security Number or ID#(Required) Address(Required) Street Address Apt. No. City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone(Required)Phone Type(Required)HomeOfficeCellB. Student’s Family InformationIt takes a minimum of 5 to 10 days for all Verification forms and documentation to be reviewed. List ALL the people in household who will be receiving more than 50% of their support from you (and your spouse, if married) from July 1, 2023, through June 30, 2024, including: Yourself and your spouse if married and Your children, even if they don’t live with you, if you will provide more than half of their support from July 1, 2023 through June 30, 2024 and Other legal court appointed dependents ONLY if they now live with you and you (or your spouse) provide more than half of their support and will continue to provide more than half of their support from July 1, 2023, through June 30, 2024. (must provide documentation) Must write the name, age and relationship of all household members below. Write in the name of the college for any household member who will be attending at least half time between July 1, 2023, and June 30, 2024, and will be enrolled in a degree, diploma, or certificate program.If you need additional space, click the add button or plus sign.List PeopleFirst and Last NameAgeRelationship to StudentName of College, if any, each person will be attending in 2023-2024 Add RemoveC. Student’s Tax Forms and Income InformationINSTRUCTIONS: The best way to verify 2021 income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If you have not already used the tool, go to FAFSA.gov, log in to your FAFSA record, select “Make FAFSA Corrections,” and navigate to the Financial Information section of the form. From there, follow the instructions to determine if you are eligible to use the IRS Data Retrieval Tool to transfer 2021 IRS income tax information into your FAFSA.1. Check the item below that applies:(Required) I used the IRS Data Retrieval Tool to transfer 2021 IRS income information into the FAFSA. If an amended 2021 IRS tax return has been or will be filed, a signed copy of the 2021 IRS Tax Return and a signed copy of the 2021 IRS 1040X Amended US Individual Income Tax Return must be submitted. The IRS Data Retrieval Tool cannot be used. Submit copies of all 2021 W-2’s, 1099 and Schedules. I did not use the IRS Data Retrieval Tool, must submit signed copy of the 2021 IRS Tax Return. IF MARRIED FILING SEPARATE – MUST PROVIDE a signed copy of the 2021 IRS Tax Return FOR BOTH along with all W-2 Forms and Schedules I was employed in 2021 but will not file a Federal Tax Return because I am not required to file. Must submit a 2021 IRS Non-Filing Statement. Attach copies of all 2021 W-2s, IRS4 I was not employed and had no income earned from work in 2021. Must submit a 2021 IRS Non-Filing Statement. 2. If your employer did not supply a 2021 W-2, request a 2021 Wage Statement from the IRS.Verification cannot be completed until the signed 2021 IRS Tax Return and all W-2’s and Schedules have been submitted to the school.Certification and SignatureI certify that all of the information reported on this worksheet is complete and correct. The student must sign this worksheet. If married, the spouse’s signature is optional.Student's Signature(Required)Spouse's Signature TweetShareShare
