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2014-2015
Standard Verification Worksheet
Independent Student
Your 2014-2015 FAFSA was selected for review in a process
called verification. The law says that before awarding federal
student aid, we may ask you to confirm the information you
reported on your FAFSA. To verify that you provided correct
information, the Office of Financial Assistance (OFA) will
compare your FAFSA with the information on this worksheet and
with any other required documents. If there are differences, the
OFA will make the necessary corrections to your FAFSA.
Normal verification processing time is between 3-5 business days
from the date the last document is received. If corrections are
made to your FAFSA you will be notified of those changes upon
completion of verification to your Cardinal Mail account. If your
awards changed due to the corrections, you may view your new
award package online through BannerWeb.
A. Student Information
4301 Broadway CPO 308
San Antonio, Texas 78209
Phone: (210) 829-6008
Fax: (210) 283-5053
www.uiw.edu/finaid
[email protected]
FVWI05
What You Need To Do
1. Complete and SIGN this worksheet.
2. Collect signed copies of your and your spouse’s (if married) 2013
tax documents.
Student’s 2013 Federal Tax Return TRANSCRIPT
(if you filed and did not use the IRS DRT.)
Spouse’s 2013 Federal Tax Return TRANSCRIPT
(if they filed and did not use the IRS DRT.)
2013 W2 forms for Non-Filers
3. Submit this worksheet and required documents to the Office of
Financial Assistance by fax, email, or in person.
Please be advised that additional information may be requested
by the Department of Education. The OFA will contact you if any
additional information is required.
(Read the entire worksheet thoroughly for additional details.)
_________________________________________________
Last Name
First Name
M.I.
_________________________________________
Student ID
or
Social Security Number
_________________________________________________
Address
_________________________________________
Date of Birth
Email
_________________________________________________
City
State
Zip
_________________________________________
Phone Number (include area code)
B. Family Information
List the people in your household including:
 Yourself
 Your spouse, if you are married.
 Children if you or your spouse will provide more than half of their support from July 1, 2014, through June 30, 2015.
 Other people ONLY if they now live with you and if you provide and will continue to provide more than half of their support through
June 30, 2015. Do not include foster children.
Include the name of the college for any household member, who will be enrolled at least half-time, 6 hours, in a degree, diploma, or
certificate program at an eligible postsecondary educational institution any time between July 1, 2014 and June 30, 2015.
(If more space is needed, attach a separate page.)
Full Name
Age
Relationship
College/University
Marty Jones (example)
28
Wife
Central University
SELF
UIW
Will be Enrolled at least
Half-Time (6 hrs)
Yes
C. Student Tax Forms and Income Information (all applicants)
Student’s Name: ____________________________________
Student ID or SSN:________________________
1. Tax Return Filers—Important Note: If either or your spouse (if married) filed or will file an Amended 2013 Tax Return 1040X,
contact the Office of Financial Assistance (OFA) before completing this section.
Complete this section if you, the student and your spouse (if married), filed or will file a 2013 federal income tax return with the IRS.
The best way to report income on the FAFSA is by using the IRS Data Retrieval Tool (DRT) that is part of FAFSA at FAFSA.ed.gov. In
most cases, for electronic filers, 2013 IRS income tax information for the IRS DRT is available within 2-3 weeks after the electronic income
tax return has been accepted by the IRS with no issues. For filers of the 2013 paper IRS income tax returns, the information is generally
available for the IRS DRT within 8-11 weeks after the paper return has been received by the IRS with no issues. Please contact the OFA if
more information is needed about using the IRS DRT. If you did not use the IRS Data Retrieval Tool you may choose to log back into the
FAFSA to use the tool or you can opt to submit your 2013 Tax Return Transcript for the OFA to review. (Please refer to our Verification
Checklist for information on how to obtain a Tax Return Transcript.)
Check the box that applies:
Check here if a signed copy of the student’s (and if married, spouse’s) 2013 IRS Tax Return Transcript is attached to this
worksheet.
Check here if you have already used the IRS Data Retrieval Tool (DRT) and did not alter or change any information after the
transfer was complete.
Check here if you choose to log back into the 2014-2015 FAFSA to use the IRS Data Retrieval Tool (DRT) to transfer your 2013
IRS income information. (Please note that if you use the IRS DRT it could take up to 3-5 business days for us to upload the new
FAFSA record with the new information.)
Please be aware that not everyone is eligible to use the IRS DRT. When attempting to process the IRS DRT information, FAFSA will notify
you if you are or are not eligible to use the tool and if it was successful. If you are ineligible to use or choose not to use the IRS DRT, then
you must submit a copy of your and your spouses (if married) 2013 Tax Return Transcript from the IRS. In extenuating circumstances, the
processor may request a copy of your 2013 Tax Return Transcript even if you have used the DRT. If needed, the processor will contact you.
2. Additional student financial information and untaxed income from tax year 2013. (Use your 2013 Tax Return for assistance.)
Sources of Untaxed Income
2013 Amount
Sources of Untaxed Income
Amount
Child Support Received for all children. (Please include the TOTAL
YEARLY amount.)
DO NOT include foster children or adoption payments.
$
Tax-Deferred Pension payments: Use your 2013 W-2 forms
(Box 12a-12d) codes D, E, F, G, H, and S- DO NOT include double
codes (ex: DD, EE, etc.)
$
Taxable student grant and scholarship aid reported to the IRS in your $
AGI. (Only include if an amount with code SCH appears on line 7
of your 2013 Tax Return).
Untaxed Portions of IRA distributions from IRS form 1040– lines
(15a minus 15b) or 1040A– lines (11a minus 11b). DO NOT include
Rollovers. If negative, enter Zero.
Untaxed Portions of pensions from IRS form 1040– lines (16a minus
16b) or 1040A– lines (12a minus 12b). DO NOT include Rollovers.
If negative, enter Zero.
$
Combat pay or special combat pay. ONLY enter the amount $
that was taxable and included in your AGI. (This should be
zero for enlisted persons because their combat pay is
entirely non-taxable.)
BAS-Food allowance for members of the Military or
$
Housing allowance and other living allowances for
members of the clergy and others. (DO NOT include
military housing allowance).
VA Non-Educational benefits such as VA Disability, Death $
pension, or DIC.
Other untaxed income– such as workers’ compensation,
$
disability, etc. DO NOT include student aid, earned income
credit, welfare payments, untaxed Social Security benefits,
or SSI.
Money received, or paid on your behalf (e.g. Bills not
reported elsewhere on this form.)
3. Non-Filers– Complete this section if you (and if married, your spouse) did not and were not required to file a 2013 Federal Income Tax
Return with the IRS.
Check the box that applies:
I had zero income earned from work and was not required to file a tax return in 2013.
My spouse (if married) had zero income earned from work and was not required to file a tax return in 2013.
I (and if married, my spouse) was/were employed and did work in 2013. However, I was not required to file a 2013 federal tax
return. (List below your employer(s) and any income received in 2013. Attach a copy of your and/or your spouse’s (if married)
2013 W2 forms. If you cannot locate your W2’s please include a signed statement detailing why the W2’s cannot be attached. If
you earned wages from a federal work-study program please indicate “work-study”.)
Name of Employer
2013 Income Amount
D. Other Information
Student’s Name: ____________________________________
Student ID or SSN:________________________
1. SNAP (Formerly known as food stamps):
Check here if someone in your household (listed in section B) received benefits from the Supplemental Nutrition Assistance
Program or SNAP (formerly known as food stamps) any time during the 2013 calendar year. (Please be advised that additional
documentation may be requested. The OFA will contact you if any additional information is required.)
2. Child Support Paid: Complete this section if you (or if married, your spouse) paid child support in 2013. (Do not include any children
within your household.)
Please 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 YEARLY amount of child support that was paid in 2013 for each
child. If asked by the OFA, I will provide documentation of the payment of child support. (If more space is needed attach a separate sheet.)
Name of Person Who Paid
Child Support
Marty Jones (example)
Name of Person to
Whom the Child Support
was Paid
Christine Smith
Name of Child for Whom
Support was Paid
Terry Jones
Total Amount Paid
in 2013
(yearly)
$ 6,000.00
$
$
$
$
$
E. Signatures (all applicants)
You MUST sign and date this form. This form will remain unprocessed until ALL of the appropriate signatures are acquired.
Each person signing this form certifies all the information reported on it is complete and correct. Processing can take up to one
week from the date the last document was received.
1.
2.
**STOP** Do you have all of the documents you need?
Student Tax Return Transcript (required only if you did not use the DRT or were not eligible to use the DRT)
Spouse (if married) Tax Return Transcript (required only if they did not use the DRT or were not eligible to
use the DRT)
3.
4.
5.
W2 forms (for non-filers who earned income)
Other documentation (if requested by the OFA)
Signature(s) below
WARNING: If you purposely give false or
misleading information on this worksheet, you
may be fined, be sentenced to jail, or both.
_________________________________________
Student Signature
(Required)
____________________
Date
_________________________________________
Spouse Signature
(Optional)
____________________
Date