Independent Verification Worksheet

Your application was selected for review in a process called “Verification.” In this process, your school will be comparing information from your application with signed copies of your (and your spouse’s, if you are married) 2013 Federal tax forms, and with W-2 forms or 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 your school 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 help you.

What you should do
1. Collect your (and your spouse’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).
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 Infomation


List the people in your household, including:

  • Yourself, and your Spouse, if you are married.
  • Your children, if you will provide more than half of their support from July 1, 2014 through June 30, 2015
  • Other people if they now live with you and you provide more than half of their support and will continue to provide more than half of their support 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 who will be enrolled at least half-time in a degree, diploma, or certificate program at an university between July 1, 2014 and June 30, 2015.

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




  D. Independent Student's Other Information to be verified

Complete this section indicating whether or not a person in your household (listed in Section B) received benefits from the Supplemental Nutrition Assistance Program (SNAP)—{formerly known as Food Stamps} any time during the 2012 or 2013 calendar years:


Please select if Yourself/ your Spouse/ Someone in your household receives(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 the names of the Individual(s) receiving SNAP benefits.


Complete the following questions if You or Your spouse paid child support in the year 2013.



Please select if either You, or (if married) your spouse, who is listed in Section B of this worksheet, paid child support in 2013. You have to indicated 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, I will provide documentation of the payment of child support.

  Signatures



Enter your name.



Enter your spouse's name if married.



The date you are submitting the form.

By checking this box, you and your spouse(if married) 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.