2015-16 Verification Worksheet
Dependent Students
Your application was selected for review in a process called "Verification." In this process, DU will be comparing your information from
your application with your and your parent(s)' 2014 Federal tax information. Federal regulations require us to review this information
before awarding Federal aid. If there are differences between your application information and your financial documents, we may need to
make corrections electronically.
INSTRUCTIONS
Please complete ALL sections of this worksheet, attach requested documentation as appropriate, sign and return to Financial Aid.
Incomplete worksheets will not be processed, and verification cannot be completed until all requested documents are received and
reviewed.
Please contact us at 303-871-4020 or [email protected] if you have questions while completing this form.
A. Student Information
Last name
First name
M.I.
Date of birth
Address (include apt. no.)
City
DU ID Number (87...) or Social Security Number
State
Zip Code
Phone number (include area code)
B. Family Information
List the people in your parent(s)' household, including:
• yourself and your parent(s) (including stepparent) even if you don't live with your parents, and
• your parents' other children, even if they don't live with your parents(s), if (a) your parents will provide more than half of their support
from July 1, 2015 through June 30, 2016, or (b) the children would be required to provide parental information when applying for
Federal Student Aid, and
• other people if they now live with your parents, and your parents provide more than half of their support and will continue to provide
more than half of their support from July 1, 2015 through June 30, 2016.
Write the names of all household members in the space(s) below. Also write in the name of the college for any household member,
excluding your parent(s), who will be attending at least half time between July 1, 2015 and June 30, 2016, and will be enrolled in an
undergraduate degree, diploma, or certificate program at a college or university that is eligible to award federal student aid funding.
If you need more space, please attach a separate page.
Full Name
Age
Relationship
Self
College
University of Denver
C. Student's Tax and Income Information
Did you or will you file a Federal Income Tax Return for 2014? (choose one)
Yes
No
Important Note: If you filed for an extension or filed an amended 2014 tax return, please contact our office before completing this section.
1. If you answered YES, update your FAFSA by using the IRS data retrieval tool or attach a copy of your 2014 Federal tax return transcript.
a) To use the IRS data retrieval tool, log into your FAFSA online at www.fafsa.ed.gov and correct your FAFSA.
b) You can obtain a free federal tax return transcript through the IRS by going to www.irs.gov and clicking on "Order a Return or
Account Transcript," or by calling 1-800-908-9946. Be sure to order a return transcript, not an account transcript.
Check here if you will be updating your FAFSA using IRS data retrieval. If so, you may not need to submit a transcript.
Failure to use the IRS data retrieval tool, however, will require you to submit a tax return transcript at a later date.
Check here if you are attaching a copy of your 2014 IRS tax return transcript.
(date).
Check here if your 2014 IRS tax return transcript will be submitted to DU by
No
Yes
2. If you answered NO: Did you receive a W-2 and/or unemployment documents in 2014?
• If yes, please attach a photocopy of your 2014 W-2(s) and/or unemployment documents.
• If you did not receive a 2014 W-2 wage form(s), write total 2014 earnings here (write $0 if none):
D. Parent(s)' Tax Forms and Income Information
Did you or will you (and/or your spouse) file a Federal Income Tax Return for 2014? (choose one)
No
Yes
Important Note: If you filed for an extension or filed an amended 2014 tax return, please contact our office before completing this section.
1. If you answered YES, update your FAFSA by using the IRS data retrieval tool or attach a copy of your (and your spouse's) 2014 Federal
tax return transcript.
a) To use the IRS data retrieval tool, log into your FAFSA online at www.fafsa.ed.gov and correct your FAFSA.
b) You can obtain a free federal tax return transcript through the IRS by going to www.irs.gov and clicking on "Order a Return or
Account Transcript," or by calling 1-800-908-9946. Be sure to order a return transcript, not an account transcript.
Check here if you will be updating your FAFSA using IRS data retrieval. If so, you may not need to submit a transcript.
Failure to use the IRS data retrieval tool, however, will require you to submit a tax return transcript at a later date.
Check here if you are attaching a copy of your 2014 IRS tax return transcript.
(date).
Check here if your 2014 IRS tax return transcript will be submitted to DU by
Yes
2. If you answered NO: Did you (or your spouse) receive a W-2 and/or unemployment documents in 2014?
• If yes, please attach a photocopy of your (and your spouse's) 2014 W-2(s) and/or unemployment documents.
• If you did not receive a 2014 W-2 wage form(s), write total 2014 earnings here (write $0 if none):
No
E. Additional Financial Information
Child Support:
Did you or your parents pay child support in 2014?
No
Yes
If yes, please complete the following:
Child Support Recipient:
Name and Age of Child(ren):
Amount paid in 2014:
Signature of Person Paying Support:
Food Stamps (SNAP):
Did you or someone in your household receive benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly
known as food stamps) any time during the 2013 or 2014 calendar years?
Yes
No
E. Print and Sign this Worksheet
Each person signing this form certifies that all the information reported on it is complete and correct. The student and at least one parent must sign
and date. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
*
Student
Date
*
Parent
Submit form to: Financial Aid | University Hall 255 | 2197 S. University Blvd. | Denver, CO 80208-9403
Ph: 303.871.4020 | Fax: 303.871.2341 | [email protected] | www.du.edu/financialaid
Date
Print Form