Independent Student Verification of Non-Filing for 2021-22

Your financial aid application was selected by the U.S. Department of Education to undergo a process called verification. You indicated on your financial aid application that you did not or will not file a 2019 IRS Income Tax Return.

You and your spouse (if you are married), must complete this form. Both the student and spouse must sign and submit this form. The form must be submitted to the Financial Aid Office to continue the review process and determine your eligibility for federal student aid.

A. Student Information

Student Information*

First Middle Last

Student ID*

B. Student's 2019 IRS Income Tax Return Filing Status

Student Name*

First Middle Last

Select one of the options provided below. If you are married, or remarried, you must enter information for your spouse in Section C.*

I was not employed in 2019 and earned no income from work
I earned income in 2019 but did not file, nor was I required to file, an income tax return.
I have been granted a 2019 income tax filing extension, beyond the six-month automatic extension period.
I earned income in 2019 and have used the IRS Data Retrieval Tool in FAFSA on the Web to transfer 2019 IRS income information or I will submit a 2019 IRS tax transcript.

List your income and sources*

Income Source/Employer Name	Amount Earned in 2019

Please upload all of the following documents

All 2019 W2s

Please upload all of the following documents

A copy of the extension granted by the U.S. Internal Revenue Service (IRS), form 2350;
IRS Verification of Non-filing dated on or after October 1, 2020;
All 2019 W2s
If self employed, a signed statement estimating 2019 AGI and taxes paid.

Please upload the required student documents*

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 20 MB.

Independent Student Verification of Non-Filing for 2021-22

A. Student Information

B. Student's 2019 IRS Income Tax Return Filing Status

C. Spouse's 2019 IRS Income Tax Return Filing Status

D. Certification and Signatures