Dependent Student Verification Worksheet 2022-2023

Your 2021-2022 Free Application for Federal Student Aid (FAFSA) was selected by the Department of Education for a review in a process called verification. Before we can determine your eligibility, we are asking you to confirm the information you reported on your FAFSA. To ensure the information is correct, we will compare your FAFSA with the information on this worksheet, and with any other required documents. If there are differences, your FAFSA information may need to be corrected.

YOU AND YOUR PARENT(S) MUST REVIEW THIS ENTIRE WORKSHEET AND ACCURATELY COMPLETE AND SIGN THIS WORKSHEET.
SUBMIT THE COMPLETED WORKSHEET, IRS TAX RETURN TRANSCRIPTS (IF REQUESTED), AND OTHER DOCUMENTS TO THE VHCC FINANCIAL AID OFFICE, PO BOX 828, ABINGDON, VA 24212.

1. A. Dependent Student's Information:

First

Middle

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Student's VHCC ID

Student's Date of Birth

Student's Phone

Student's Email

2. B. Dependent Student's Family Information:

List below the names and ages of ALL members of your PARENT'S household that meet the definition here:

Yourself and your parent(s) (including a stepparent) even if you do not live with your parent(s).
Your parent(s)' other children if your parent(s) will provide more than half of their support from July 1, 2021, through June 30, 2022, or if the other children would be required to provide parental information if they were completing a FAFSA for 2021-2022. Include children who meet either of these standards, even if they do not live with your parent(s).
Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide more than half of their support through June 30, 2022.

First

Last

Age

3. Parent/stepparent information:

First

Last

Parent or Stepparent Age

Type

First

Last

Parent or Stepparent Age

Type

4. Other household members' information:

Family Member Name

Family Relationship

If "other" is checked, relationship to student must be indicated.

Family Member Age

Attending College at Least Half-Time?*

Family Member Name

Family Relationship

If "other" is checked, relationship to student must be indicated.

Family Member Age

Attending College at Least Half-Time?*

Family Member Name

Family Relationship

If "other" is checked, relationship to student must be indicated.

Family Member Age

Attending College at Least Half-Time?*

Family Member Name

Family Relationship

If "other" is checked, relationship to student must be indicated.

Family Member Age

Attending College at Least Half-Time?*

*Half-Time in this instance means at least 6 semester credits/term in a degree/certificate program between 7/01/21 and 6/30/22. If yes, list name of college.

5. C. Certification and Signature:

Each person signing this worksheet certifies that all the information reported on this worksheet is complete and correct. The student and one parent must sign and date this section.

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

Student's Signature

Date

Parent's Signature

Date

6. ADDITIONAL INFORMATION:

IRS TAX RETURN (IF REQUESTED), AND OTHER SUPPORTING DOCUMENTS

Income Tax Transcript (if requested)

One file only.
10 MB limit.
Allowed types: txt, pdf.