2015-2016 Verification Worksheet
Your 2015-2016 Free Application for Federal Student Aid (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
and or your parents reported on your FAFSA. To verify that you provided correct information the financial aid
administrator at Atlanta Metropolitan State College will compare your FAFSA with the information on this
worksheet and with any other required documents. If there are any differences, your FAFSA information may need
to be corrected.
Student’s Information
___________________________________________________
Student’s Last Name
Student’s First Name
M.I
______________________________________________
Atlanta Metropolitan State College Student ID Number
____________________________________________________
Student’s Street Address (include apt #)
______________________________________________
Student ’s Date of Birth
__________________________________________________
City
State
Zip Code
______________________________________________
Students Phone Number (Best point of Contact)
Independent vs. Dependent Student
Are you at least 24 years old; or will you be 24 years old as of December 31, 2015?
Are your married?
Do you have any legal dependents (children?)
Are you a veteran of the U.S armed forces, having served on active duty?
Are you a ward of the court or both of your parents are deceased?
If you answered NO to all of these questions you are considered a Dependent Student and must supply parental information.
If you are 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 July1,
2015 through June 20, 2016, or they would be required
to provide parent information on their FAFSA.
Full Name
Age
If you are an Independent student include:
 Yourself
 Your spouse (if you are married)
 Your children if you will provide more than half of
their support from July 1, 2015 through June 30,
2016.
Relationship to Student
Self
Name of College/University
Atlanta Metropolitan State College
If more space is required please attach a separate page.
Tax and Income Information
Student
Spouse
Father/Stepfather
Mother/Stepmother
Indicate below your 2014 federal tax return status
□ filed
□ will not file
□ extension filed
□ filed
□ will not file
□ extension filed
□ filed
□ will not file
□ extension filed
□ filed
□ will not file
□ extension filed
Data Retrieval Used:
Yes _______
No ________
2014 Tax Return Filers

If you answered “filed” above and did not use the IRS Data Retrieval Tool, you must submit 2014 IRS Tax Return
Transcripts for yourself and parents (For dependent student.)
To obtain an IRS tax return transcript go to http://www.irs.gov and click on “Order a Return or Account Transcript” link, or call
1-800-908-9946. Make sure you order the IRS tax return Transcript and not the IRS tax account transcript. If the parents are
married, and separate 2014 tax returns were filed, 2014 IRS tax return transcripts must be submitted for each parent.
2014 Tax Extension

If you answered “extension filed: above you must submit 2014 IRS Form 4868 and all W-2’s. If aid is awarded and disbursed based
on tax extension data submitted, actual tax transcripts or submission of IRS Data Retrieval (on FAFSA) must be supplied to the
Financial Aid Office within 30 days of filing your actual filed date.
2014 Nonfilers

If you or your parents answered “will not file” above, you must complete the following and attach all W2;s
List every employer even if they did not issue an IRS W2 form. If more space is needed, attach a separate page with the
student’s name and student ID number at the top.
Student
Income Earned (Yes/No)
Mother/Stepmother
Father/Stepfather
Spouse
Employer’s Name
2014 Income Earned
Did Student’s parents receive any of the following during the 2014 calendar years? Check all that apply.
 SNAP benefits (food stamps)
 Temporary Assistance for needy Families (TANF)
 Supplemental Security Income (SSI)
Special Supplemental Nutrition Program for Women (WIC)
Did Student or Student’s parent’s pay child support in 2014? If YES, complete the information below for each child.
Name of Person who paid Child
support
Name of Recipient
Name of Child
For whom support was paid
Annual Amount of Child
Support Paid in 2014
Certification and Signatures
Each person signing this worksheet certifies that all of the information reported on it is complete and accurate.
______________________________
Print Student Name
______________________________
Print Parent Name
_____________________________________
Student’s Signature
__________________________________
Parent Signature
_____________
Date
______________
Date
Submit this Verification Worksheet to: Atlanta Metropolitan State College (Office of Financial Aid)
1630 Metropolitan Parkway S.W
Atlanta, GA 30310
Fax (404) 756-4834