(V1) Independent Student Standard Verification Group

Transcription

1 Dear Student, You have been selected for the Verification Process which requires the college to confirm information that you entered on the (FAFSA). The Federal Department of Education requires specific information to complete your verification process. Failure to submit the requested information accurately and timely will delay your financial aid. Please carefully review each sheet within this document and complete each section. If any item does not pertain to your situation, simply enter Not Applicable or N/A. Be sure to provide all appropriate signatures and dates. Thank You! (V1) Independent Student Standard Verification Group A. Student Information B. Household Size & Number in College C. SNAP (Food Stamps) D. Child Support Paid E. Income & Asssets F. Acknowledgement Statement

2 (V1) Independent Student Standard Verification Group The recent Free Application for Federal Student Aid (FAFSA) that you submitted has been selected for the federal Verification process. You are required to complete and submit this form to Financial Aid Services. Our department will review information on this form and other documentation that you may be required to submit. As a result of this review, Financial Aid Services may make electronic corrections to your application which may result in changes to your financial aid awards. A. Student Information (please print clearly) Street Address City State Zip Home Phone Cell Phone Address B. Family Household Size & Number in College Please list the people who live in your household, including: Yourself Your Spouse (if you are married) Your children (if any) for whom you will provide more than half of their support from July 1, 2015 through June 30, 2016, or if the children would be required to provide your information if they were completing a FAFSA for Include children who meet either of these standards, even if they do not live with you. Other people for whom you will provide more than half of their support and will continue to provide more than half of their support through June 30, Include 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 a postsecondary educational institution any time between July 1, 2015 and June 30, If additional space is needed, attach a separate page with the student s name, Hocking ID and the requested information. Full Name Age Relationship to Student College/University Self Hocking College (Last Modified/February 2015) 1 of 4

3 C. Supplemental Nutrition Assistance Program (SNAP) Benefits Received Please check the appropriate box below to indicate if any of the members of your household listed in Section B received SNAP benefits during the 2013 or 2014 calendar years. At least one of the members of my household received SNAP benefits during 2013 and/or 2014 No members of my household received SNAP benefits during 2013 and/or D. Child Support Paid Please check the appropriate box below to indicate if you or your spouse (if married) listed in Section B paid child support during the 2014 calendar year. Either I or my spouse paid child support during Neither I or my spouse paid child support during If either you or your spouse paid child support during the 2014 calendar year, please provide: The name(s) of the individuals(s) who paid the child support. The name(s) of the child(ren) for whom the child support was paid. The name of the individual to whom the child support was paid. The total annual amount of the child support that was paid in 2014 for each child. Each individual who paid child support in 2014 must provide his/her signature in Section F. If additional space is needed, attach a separate page with the student s name, the student s ID number and the requested information. Individual Who Paid Child Support Child for Whom Support was Paid Individual to Whom Child Support was Paid Amount of Child Support Paid in 2014 (Last Modified/February 2015) 2 of 4

4 E. Income & Asset Information Please check below the appropriate tax filing status for 2014 for you and your spouse (if married). If you (and spouse if applicable) are required to file an IRS return, and you did not transfer your information from the IRS using the Data Retrieval Tool (DRT) on the FAFSA, then you must submit a copy of your Federal Tax Return Transcript. You may obtain a copy by visiting and select Get Transcript Online. I (and my spouse if applicable) am required to file a 2014 Federal Tax Return. IRS Tax Return Transcript is Attached. IRS Information Obtained Using the Data Retrieval Tool (DRT) on the FAFSA. Neither I or my spouse did not file and not required to file a 2014 Federal Tax Return. If you or your spouse (if married) did not file and are not required to file a 2014 Federal Tax Return, in the table below list any income received in 2014 as well as the name of the employer or source of income. A copy of the appropriate IRS form documenting the amount of income listed below for each source, such as a W-2 or 1099, must be provided to Financial Aid Services along with this form. If additional space is needed, attach a separate page with the student s name, Hocking ID number and the requested information. Employer(s)/Source(s) of Income Total Amount Earned in 2014 IRS Form Available? (Yes/No) If the appropriate IRS forms documenting the income received from any of the employers/sources listed above cannot be provided, please provide an explanation below as to why documentation cannot be provided. If additional space is needed, attach a separate page with the student s name, Hocking ID number and the requested information. Please explain: (Last Modified/February 2015) 3 of 4

5 F. Acknowledgement Statement Please read the certification statement below and provide the required student signature. If the student s spouse listed in Section B paid child support in 2014, as listed in Section D, and/or did not file and is not required to file a 2014 Federal Income Tax Return, as listed in Section E, a signature from the student s spouse is also required. I/We hereby certify that all of the information provided on this verification form is true and correct to the best of my/ our knowledge. I/We understand that this information will be used to verify the data submitted on the FAFSA. I/We realize that the eligibility for financial aid for the student indicated above is not finalized until all requested documents have been received and reviewed by Financial Aid Services. I/We understand that purposely giving false or misleading information on this verification worksheet may lead to a fine, a jail sentence, or both. Student Signature Date Spouse Signature Date (Last Modified/February 2015) 4 of 4