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2020–2021 Aggregate Verification Worksheet 
V5-Dependent Student 

Your 2020–2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called 
“Verification”. The Financial Aid Office at your college must compare information from your FAFSA with information 
you provide on this worksheet and with any other required documents. If there are differences, your Financial Aid 
Office may require additional documentation and your FAFSA information may need to be corrected. You will not 
receive federal financial aid until all verification requirements are met and the necessary corrections made. 

What You Should Do 

1.If you or your parent(s) are tax filers, obtain a 2018 IRS Tax Return Transcript for yourself and yourparent(s). Request an IRS Tax Return Transcript online at www.irs.gov/Individuals/Get-Transcript 
or by phone at1-800-908-9946. Make sure you select an IRS Tax Return Transcript and NOT the IRS Tax Account Transcript. Besure to specify tax year 2018 when making your request. In place of the transcript, the Financial Aid Office canaccept a complete signed copy of a preparer’s 2018 Federal Income Tax Return (Form 1040 with allschedules) that was submitted to the IRS. Important Note: If you used the IRS Data Retrieval Tool to transferyour 2018 income data into your FAFSA, you may not have to submit the IRS Tax Return Transcript.
2.If your parents had income earned from work in 2018, but did not and were not required to file a tax return, theymust provide a 2018 Verification of Non-Filing Letter dated on or after October 1, 2019. They may request aVerification of Non-Filing Letter at www.irs.gov/Individuals/Get-Transcript 
or by phone at 1-800-908-9946. Bothyou and your parents must provide copies of W-2 forms issued by your employers for all income earned fromwork in tax year 2018 that was not reported on a tax return.
3.Complete Sections A-D of this worksheet – you and one of your parents must sign the Section E certification onpage 3 of the worksheet. Collect the documents required for Section F on page 3 but do NOT complete thatsection in advance.
4.Submit the completed worksheet, tax return transcript(s) and any other required documents to the Financial AidOffice at your college. You will complete Section F in person at that time.


A.Student’s Information

Student’s Last Name First Name M.I.
(text) 


Student’s Street Address (include apt. no.) 
(text) 


City State Zip Code 
(text) 


Student’s Home Phone Number (include area code) 
(text) 


Student’s Social Security Number 
(text) 


Student’s CUNYfirst ID / Empl ID 
(text) 


Student’s Date of Birth 
(text) 


Student’s Email Address 
(text) 


B.Parents’ Household Information

List the people your parent(s) will support between July 1, 2020 and June 30, 2021. Include:

•Yourself and your parent(s)
•Your parents’ other children if (a) your parent(s) provide more than half of their support, or (b) if theother children would be required to provide parental information were they to complete a FAFSA for 2020–
2021. 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) now provide more than half of their
support and will continue to provide more than half of their support through June 30, 2021.




Write the name of the college below for any household member, excluding your parent(s), who will be enrolled at 
least half time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any 
time between July 1, 2020 and June 30, 2021. 

If more space is needed, attach a separate page with student’s name and the last 4 digits of student’s SSN at the top. 

Full Name Age Relationship College Will be Enrolled at 
Least Half Time 
Example: Jane Smith 18 Sister State University Yes 
(text) 
(text) 
Self 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 


2020-21 Aggregate Verification Worksheet V5-Dependent Student Page 1 of 3 


Student Name: 
(text) 


Student SSN: XXX-XX-____ 
(text) 
(text) 
(text) 
(text) 


C.Student’s Income Information to Be Verified

NOTE: If you filed an amended 2018 IRS tax return, you may be required to submit additional documentation tothe Financial Aid Office at your college. 

Check the box that applies: 

 I used the IRS Data Retrieval Tool in FAFSA-on-the-Web to transfer 2018 IRS income tax information into myFAFSA. [The income tax information from your FAFSA will be used to complete the verification process.] 
(checkbox) Off
 I did not (or could not) transfer my 2018 income information to the FAFSA using the IRS Data Retrieval Tool.
I have attached a copy to this worksheet of my 2018 IRS Tax Return Transcript or a signed preparer’s 
copy of the 2018 Federal Income Tax Return (Form 1040 with all schedules) that was submitted to the 
IRS. 
(checkbox) Off
 I have not filed (and am not required to file) a 2018 federal income tax return and I had no income earnedfrom work in 2018. 
(checkbox) Off
 I have not filed (and am not required to file) a 2018 federal income tax return, but I had income earned fromwork in 2018 as listed below. [List every employer and the amounts earned in 2018, even if they did not issue 
an IRS Form W-2. Attach copies of all 2018 IRS Forms W-2 that were issued to you by employers.] 
(checkbox) Off


Only complete this grid if you are a non-tax filer that had earned income in 2018. If more space is needed, attach a 
separate page with student’s name and the last 4 digits of student’s SSN at the top. 

Employer’s Name 2018 Amount Earned 2018 W2 Attached? 
Example: ABC Company $1367.75 Yes 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 


D.Parent(s)’ Income Information to Be Verified

NOTE: Provide the requested income information for each parent/stepparent listed in Section B of thisworksheet. Notify your Financial Aid Office if your parents had a change in marital status after December 
31, 2018. If your parent(s) filed (or will file) an amended 2018 IRS tax return, they may be required to 
submit additional documentation to the Financial Aid Office. 

Check the appropriate box (or boxes): 

 I/we used the IRS Data Retrieval Tool in FAFSA-on-the-Web to transfer 2018 IRS income tax information intothe FAFSA. [The income tax information from the FAFSA will be used to complete the verification process.] 
(checkbox) Off
 I/we did not (or could not) transfer my/our 2018 income information to the FAFSA using the IRS DataRetrieval Tool. I/we have attached a copy to this worksheet of my/our 2018 IRS Tax Return Transcript or 
a signed preparer’s copy of the 2018 Federal Income Tax Return (Form 1040 with all schedules) that 
was submitted to the IRS. [Note: if your parents filed a joint tax return, but you reported your parent’s 
marital status on the FAFSA as separated, divorced or widowed, you must include copies of all IRS Form W-2s 
with the tax transcript.] 
(checkbox) Off
 I/we have not filed (and are not required to file) a 2018 federal income tax return and I/we had no incomeearned from work in 2018. I/we have each attached a 2018 Verification of Non-Filing Letter to this 
worksheet. 
(checkbox) Off
 I/we have not filed (and are not required to file) a 2018 federal income tax return but I/we had income earnedfrom work in 2018 as listed below. I/we have each attached a 2018 Verification of Non-Filing Letter to 
this worksheet. [List every employer and the amounts earned in 2018, even if an IRS Form W-2 was not 
issued. You must attach copies of all 2018 IRS Forms W-2 that were issued to you by your employers.] 
(checkbox) Off


Only complete this grid if your parent(s) were non-tax filer(s) that had earned income in 2018. If more space is 
needed, attach a separate page with student’s name and the last 4 digits of student’s SSN at the top. 

Employer’s Name 2018 Amount Earned 2018 W2 Attached? 
Example: ABC Company $1367.75 Yes 
(text) 
(text) 
(text) 
(text) 
(text) 
(text) 


2020-21 Aggregate Verification Worksheet V5-Dependent Student Page 2 of 3 


Student Name: 
(text) 


Student SSN: XXX-XX-____ ____ ____ ____ 
(text) 
(text) 
(text) 
(text) 


E. Certification and Signatures – Student and one parent must sign 

We certify that all the information reported on this worksheet is complete and correct. We further understand 
that if we purposely give false or misleading information, we could be fined, jailed, or both. 

Student Signature 

Date 
(text) 


Parent Signature 

Date 
(text) 


Do not complete Section F below in advance. You must complete and sign Section F IN PERSON at the 
Financial Aid Office at your college. 

F. Identity Verification and Statement of Educational Purpose 

You have been selected by the U.S. Department of Education to verify your identity and educational plans. You must 
appear in person at the Financial Aid Office at your college and present a piece of valid government-issued 
identification to a financial aid representative. The representative will review and copy this piece of identification 
which will be maintained in your student file. 

Statement of Educational Purpose 

I certify that I, _____________________________________________________________________________ 
(Print Name) 
(text) 


am the individual signing this Statement of Educational Purpose and that the federal student financial assistance I 
may receive will only be used for educational purposes and to pay the cost of attending 


(text) 
_ for 2020-2021. 
(Name of CUNY Institution Attending) 

Student’s Signature: ____________________________________________ Date: _______________________ 
(text) 


OFFICE USE ONLY-DO NOT WRITE BELOW 

1. Proof of Identity 

The above-named student has presented valid government-issued photo identification such as a state driver’s license, 
non-driver’s license or passport which verifies his or her identity. 

NOTE: An unexpired valid government-issued photo identification is one issued by the U.S. government, any of the 50 
States, the District of Columbia, the Commonwealth of Puerto Rico, a federally recognized American Indian and Alaska 
Native Tribe, or other U.S. territory as outlined in the Federal Register. 

FA Certifying Officer’s Signature 

Date Received 
(text) 


Type of Valid ID Collected 
(text) 


2. Completion of High School or the Equivalent 
The above-named student has submitted a final high school transcript or other acceptable documentation to the 
appropriate CUNY office that shows evidence of graduation from an accredited high school or educational institution, 
state-issued general education equivalency (GED), or evidence of home schooling. 

FA Certifying Officer’s Signature 

Date Received 
(text) 


2020-21 Aggregate Verification Worksheet V5-Dependent Student Page 3 of 3