Dependent Verification Worksheet Generator

After you have filled out this form, please print out the generated PDF, sign the bottom, and upload the document using the Secure Document Uploader.

Student Information

* Student First Name

* Student Last Name

* Student ID

* Award Year

Family Household Information

List the people in your parent(s) household, including

Yourself, even if you don't live in the household
Your parent(s) and/or step-parent living in the household
Your parents' other children in this household if your parents provide more than half of their support
Other people that live with your parents, will continue to live in the household through June 30, Fiscal Year End, and your parents will provide more than half of their support

Be sure to:

Include age and relationship of individual in the household
Include the college/university the household member will attend at least half time during the Fiscal Year academic year (no abbreviations)

If you have no household members other than yourself, please press the "Delete Member" button until only yourself is listed.

Full Name	Age	Relationship	College (Do not abbreviate)

Student Income and Tax Information

List below employer(s) and any income received in Tax Year even if you did not receive a W2.
ALL COPIES OF W2 FORMS MUST BE PROVIDED (Schedule C or K-1 if self-employed).
Click the "Remove Employer" button if you did not have any employers.

Student's Employers

Employer's Name	Amount Earned in Tax Year

Student Tax Return

I have filed a Tax Year Federal income tax return & will provide a Tax Return Transcript or utilize the IRS Data Retrieval Tool within FAFSA

I did not file, will not file, and am not required to file a Tax Year Federal income tax return but I did have income earned from work.

I did not file, will not file, and am not required to file a Tax Year Federal income tax return as I had no income earned from work.

Parent Income and Tax Information

Parent's Employers

Employer's Name	Amount Earned in Tax Year

Parent Tax Return

I have filed a Tax Year Federal income tax return & will provide a Tax Return Transcript or utilize the IRS Data Retrieval Tool within FAFSA

I did not file, will not file, and am not required to file a Tax Year Federal income tax return but I did have income earned from work. I will provide the IRS Verification of Non Filing Letter.

I did not file, will not file, and am not required to file a Tax Year Federal income tax return as I had no income earned from work. I will provide the IRS Verification of Non Filing Letter.

You MUST print this form to sign and date it. Please do not submit without signatures.

Student Information

Family Household Information

Student Income and Tax Information

Student's Employers

Parent Income and Tax Information

Parent's Employers

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