2022-2023 Verification Worksheet V1 - Dependent Student
Your 2022-2023 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 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 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 office 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 ID Last 4 Digits of SSN
B. Dependent Student’s Family Information
List below the people in your parent(s)’ household. Include:
Yourself and your parent(s) (including 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, 2022, through June 30, 2023, or if the
other children would be required to provide parental information if they were completing a FAFSA for 2022-2023 Include children who meet
either of these standards, even if they do not live with your parent(s). If the child is unborn, include the due date (month and year.)
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, 2023.
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, 2022, and June 30, 2023.
If more space is needed, attach a separate page with your name and Student ID Number at the top.
Full Name Age Relationship College
Will be Enrolled at Least
Half Time
Missy Jones(example)
18
Sister
Central University
Yes
Self
Student’s Name: ______________________________________________ Student’s ID: __________________________
C. Dependent Student’s Income Information to Be Verified
1. Student’s Income Information
Instructions: Check only one box below.
The student has filed or will file a 2020 IRS tax return. (See instruction section below for required documentation.)
The student was not employed and had no income earned from work in 2020 and was not required to file the 2020 tax return.
The student was employed in 2020 but not required to file a 2020 IRS tax return. Below you must list the names of all employers, the
amount earned from each employer in 2020, and whether an IRS W-2 form is attached. Attach copies of all 2020 W-2 forms issued to you
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 your name and Student ID Number at the top.
Employer’s Name 2020 Amount Earned
Suzy’s Auto Body Shop (example)
$2,000.00
2. Parent’s Income Information * If two parents are listed in Section B, the instructions and certifications below refer and apply to both parents.
Instructions: Check only one box below.
The student’s parent has filed or will file a 2020 IRS tax return. (See instruction section below for required documentation.)
The student’s parent was not employed and had no income earned from work in 2020 and was not required to file the 2020 tax return. (See
instruction section below for required documentation.)
The student’s parent was employed in 2020 but not required to file a 2020 IRS tax return. Below you must list the names of all employers,
the amount earned from each employer in 2020, and whether an IRS W-2 form is attached. Attach copies of all 2020 W-2 forms issued to
you 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 your name and Student ID Number at the top.
Who Earned Income? Employer’s Name 2020 Amount Earned
IRS W-2 Attached?
Mother
Suzy’s Auto Body Shop (example)
$2,000.00
Yes
D. Certification and Signature
Each person signing the worksheet certifies that all of the information reported
on it is complete and correct. The student and one parent must sign and date.
_________________________________________________ _________________________________
Student’s Signature Date
_________________________________________________ _________________________________
Parent’s Signature Date
Submit this worksheet to the financial aid office at your school. - You should make a copy of this worksheet for your records.
Instruction Section for Tax Filers
Option 1 – Use the IRS Data Retrieval Tool
The best way to verify income is by using the IRS Data Retrieval Tool that is part of FAFSA on the Web. If you have already used this tool and
submitted your FAFSA with unaltered tax data than no further action is required, unless instructed by your financial aid office.
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. If
you need more information about when, or how to use the IRS Data Retrieval Tool please contact the financial aid office.
Option 2 – Request an IRS Tax Return Transcript for Filers or Non-Filers
If you do not meet the requirements or choose not to use the IRS Data Retrieval Tool, you are required to submit yours, and your parents’, IRS tax
return transcript to the financial aid office. If your parent did not file, your parent will need to request a 2020 Non-Filing Statement from the IRS.
To obtain an IRS tax return transcript, go to www.IRS.gov and click on the “Get a Tax Transcript” link. You can select to receive the transcript
online or have a copy mailed to you. You will need your SSN, DOB, and the address on file with the IRS (the address used when your 2020 IRS tax
return was filed), or call 1-800-908-9946.
Note: Once you have filed your return with the IRS it may take up to two weeks for IRS income information to be available for electronic tax return
filers, and up to eight weeks for paper tax return filers. You must wait until your IRS income information is available before choosing either option.
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, be
sentenced to jail, or both.
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