Dependent Verification Worksheet

Your application was selected for review in a process called “Verification.” In this process, the university will be comparing information from your application with signed copies of you and your parent(s)’ 2013 Federal Income Tax Forms, W-2 form(s), and other financial documents. The law says we have the right to ask you for this information before awarding Federal Aid. If there are differences between your application information and your financial documents, you or the university may need to make corrections electronically or by using your Student Aid Report (SAR).
Complete this verification form and submit it to your financial aid administrator as soon as possible, so that your financial aid won’t be delayed. Your financial aid administrator will assist you.

What you should do
1. Collect you and your parent(s)’ financial documents (signed Federal income tax forms, W-2 forms, etc.).
2. Talk to your financial aid administrator if you have questions about completing this worksheet.
3. Complete and sign the worksheet(s)—you and at least one parent.
4. Submit the completed worksheet, tax forms, and any other documents your school requests to your financial aid administrator.
5. Your financial aid administrator will compare information on this worksheet and any supporting documents with the information you submitted on your application. You or your school may need to make corrections electronically or by using your SAR.

  A. Student Information













  B. Family Information


List the people in your parent(s)’ household, including:
• yourself and your parent(s) (including stepparent) even if you don’t live with your parents, and
• your parents’ other children, even if they don’t live with your parent(s), if (a) your parents will provide more than half of their support from July 1, 2014 through June 30, 2015, or (b) the children would be required to provide parental information when applying for Federal Student Aid, and
• other people if they now live with your parents, and your parents provide more than half of their support and will continue to provide more than half of their support from July 1, 2014 through June 30, 2015.

Write the names of all household members in the space(s) below. Also write in the name of the college for any household member, excluding your parent(s), who will be attending at least half-time between July 1, 2014 and June 30, 2015, and will be enrolled in a degree, diploma, or certificate program.

If you list below a member of household who is 24 years of age or older, you will need to complete the Non-Traditional Household Form.


Enter Full Name, Age, Relationship, College

Please press ' return' after each entry
  C. Students Income Information to be Verified

Please select the option that applies to you.

You are a



  D. Parents Income Information to be Verified


Note: If both parents are reported in Section B of this worksheet, then the instructions and certifications below refer and apply to both parents.

Please select the appropriate option based on whether or not your Parent(s) have filed Income Tax Returns.

  E. Parent's Other Information to be Verified




Please select if yourself and/or your Parents did not receive benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly known as Food Stamps) any time during the 2012 or 2013 calendar years.





Please select if Yourself and/or Your Parents and/or Someone in your parent’s household (listed in Section B) receive(s) benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly known as Food Stamps) any time during the 2012 or 2013 calendar years.

Please list all the individual(s) receiving benefits below. Click 'Enter' after each entry.



Check here if One (or both) of your parents listed in Section B of this worksheet paid child support in 2013. Your parent should indicate 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 2013 for each child. If asked by the school, you will provide documentation of the payment of child support.

  Signatures




By checking this box, you and your Parent(s) certify that all the information reported to qualify for Federal Student Aid is complete and correct.


  Attachments



(.pdf, .doc, .docx, .jpg, .txt formats only)

See section C for documents you need to submit with this form.



(.pdf, .doc, .docx, .jpg, .txt formats only)

See section C for documents you need to submit with this form.