2018-2019VERIFICATION WORKSHEET
Your 2018-2019Free Application for Federal Student Aid (FAFSA) was selected for a review process called verification.
Before aid can be awarded to you, additional information is required. Complete all sections and both sides of this form.
Incomplete forms may delay awarding of financial aid.
Directions:
1. Complete all sections of this worksheet in full, leaving nothing blank.
2. Sign the back, including at least one parent signature, if parent information is required.
Step One - Student Information:
Last Name: ______First Name: ______MI: ______
Student ID No. (if known): ______or Last Four Digits of Social Security No.: ______
Permanent Address: ______
City, State, Zip: ______Date of Birth: ______
Phone No.: Cell (______)______Home (______) ______Work (______)______
Step Two - Family Information – List the required information in the table below:
If you are a dependent student, include:- Yourself
- Your Parent(s) – including step-parents
- Your Parent(s)’ other children if your parents will provide more than half of their support from July 1, 2018, through June 30, 2019, or they would be required to provide parent information on their FAFSA.
- Other people only if they now live in your parent’s household and your parents will provide more than half of their support from
- Yourself
- Your spouse (if you are married)
- Your children if you will provide more than half of their support from July 1, 2018through June 30, 2019.
- Other people only if they live in your household and you provide more than half of their support and will continue to do so from
Name / Age / Relationship / Name of College/University
Self / Alverno College
If more space is required, please attach a separate page.
Step Three – Child Support PAID for calendar year 2016:
Did you/your spouse or your parent(s)pay child support during the calendar year 2016? (Do not include support paid for children included in household size in Step Two). (Please check only one answer below.)
_____ Yes – Complete the table below and continue to Step Four on the reverse side. (If more space is required, attach a separate page.)
_____ No – Continue to Step Four on the reverse side.
Annual 2016Amount Paid PER Child / Name of Child
for Whom Support was Paid / Age of Child / Name of Parent/Guardian
to Whom Support was Paid / Name of Parent/Guardian
Who Paid Support
Step Four – 2016and/or 2017 SNAP (Food Stamp)Benefit:
Did you, the student, or your parent receive benefits from the Federal Supplemental Nutrition Assistance Program during 2016 or 2017?
_____ Yes
_____ No
Step Five–2016Income Information to be Verified:
- If you filed tax returns, your tax return must be verified by either using the IRS Data Retrieval Tool (DRT) or a Tax Return Transcript.
- To use the IRS Data Retrieval Tool you must log onto FAFSA at fafsa.ed.gov, select “Make FAFSA Corrections” and navigate to the Financial Information section of the form. Follow the instructions to determine if you are eligible to use the tool to transfer 2016tax return data.
- To order a Tax Return Transcript,go to select “Get My Tax Record” and follow the instructions. You will be asked the reason for the transcript request; indicate “Higher Education/Student Aid”. Be sure to select “2016” under the Tax Yearsection. A transcript is usually sent to you within 10 calendar days.
- If youworked but are not required to file tax returns, you must submit copies of your 2016 W-2 formsandIRS Verification of Non-Filing Letter.
- To order an IRS Verification of Non-Filing Letter, go to to print IRS Form 4506-T. Complete sections: 1a, 1b, 2a and 2b (if appropriate), 3, and 4 (if appropriate). Check box 7 for the “Verification of Non-Filing” Letter. In number 9, enter 12/31/2016. Check the “Signatory attests” box, then sign, date, and enter phone number. Once received by the IRS, the letter will be mailed to your address within 10 business days.
- If you did not work in 2016, you must submit an IRS Verification of Non-Filing Letter.
- To order an IRS Verification of Non-Filing Letter, go to to print IRS Form 4506-T. Complete sections: 1a, 1b, 2a and 2b (if appropriate), 3, and 4 (if appropriate). Check box 7 for the “Verification of Non-Filing” Letter. In number 9, enter 12/31/2016. Check the “Signatory attests” box, then sign, date, and enter phone number. Once received by the IRS, the letter will be mailed to your address within 10 business days.
Student Income Information (please check one option):
_____ I used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2016 IRS income information into my FAFSA.
_____ I am not eligible or choosenot to use the IRS Data Retrieval Tool and I will submit a2016 IRS Tax Return Transcript.
_____ I worked but am not required to filea 2016federal income tax return. I will submit a 2016 IRS Verification of Non-Filing Letter and
copies of my 2016 W-2 forms.
_____ I did not work during 2016 and I will submit a 2016 IRS Verification of Non-Filing Letter.
Parent Income Information (required if student is dependent for financial aid; please check one option):
_____ Parent(s) used the IRS Data Retrieval Tool in FAFSA on the Web to retrieve and transfer 2016 IRS income information into the FAFSA.
_____ Parent(s) did not use or not eligibleto use the IRS Data Retrieval Tool and will submit a 2016 IRS Tax Return Transcript.
_____ Parent(s) worked but not required to filea 2016 federal income tax return and will submit a 2016 IRS Verification of Non-Filing Letter
andcopies of 2016 W-2 forms.
_____ Parent(s) did not work during 2016 and will submit a 2016 IRS Verification of Non-Filing Letter.
Each person signing this form certifies that all the information reported on it is complete and correct. The student and at least one parent (if applicable) must sign and date below.
Student Signature: ______Date: ______
Parent Signature (If student is dependent): ______Date: ______
WE CANNOT ACCEPT TYPED OR ELECTRONIC SIGNATURES ON THIS FORM – PLEASE SIGN AND DATE ABOVE. PLEASE RETURN THIS FORM TO THE FINANCIAL AID OFFICE.
CRI: FC18VERF