2017–2018 Standard Verification Worksheet 
V1-Dependent Student 

Your 2017–2018 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 2015 IRS Tax Return Transcript for yourself and your 
parent(s). The Financial Aid Office cannot accept preparer’s copies of the required tax documents. Request an 
IRS Tax Return Transcript online at www.irs.gov/Individuals/Get-Transcript or by phone at 1-800-908-9946. 
Make sure you select an IRS Tax Return Transcript and NOT the IRS Tax Account Transcript. Be sure to specify 
tax year 2015 when making your request. Important Note: If you used the IRS Data Retrieval Tool to transfer 
your 2015 income data into your FAFSA, you may not have to submit the IRS Tax Return Transcript. 
2. 
If you or your parents had income earned from work in 2015, but did not and were not required to file a tax 
return, you each must provide a 2015 Verification of Non-Filing Letter dated on or after October 1, 2016, and 
all W-2 forms for tax year 2015 issued to each of you by your employers. Request a Verification of Non-Filing 
Letter at www.irs.gov/Individuals/Get-Transcript or by phone at 1-800-908-9946. 
3. 
Complete Sections A-D of this worksheet – you and one of your parents must sign the Section E certification on 
page 3 of the worksheet. 
4. 
Submit the completed worksheet, tax return transcript(s) and any other required documents to the Financial Aid 
Office at your college. 
A. Student’s Information 
Student’s Last Name First Name M.I. Student’s Social Security Number 
(Student’s Last Name First Name M.I._Row_1) 
(Student’s Social Security Number_Row_1) 
Student’s Street Address (include apt. no.) Student’s CUNYfirst ID / Empl ID 
(Student’s Street Address (include apt. no.)_Row_1) 
(Student’s CUNYfirst ID / Empl ID_Row_1) 
City, State, Zip Code Student’s Date of Birth 
(City, State, Zip Code_Row_1) 
(Student’s Date of Birth_Row_1) 
Student’s Phone Number (include area code) Student’s Email Address 
(Student’s Phone Number (include area code)_Row_1) 
(Student’s Email Address_Row_1) 


B. Parents’ Household Information 
List the people your parent(s) will support between July 1, 2017 and June 30, 2018. 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 the 
other children would be required to provide parental information were they to complete a FAFSA for 2017– 
2018. 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, 2018. 
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, 2017 and June 30, 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. 

Full Name Age Relationship College Will be Enrolled at 
Least Half Time 
Example: Jane Smith 18 Sister State University Yes 
(Example: Jane Smith_Row_1) 
(18_Row_1) 
Self 
(State University_Self) 
(Yes_Self) 
(Example: Jane Smith_Row_2) 
(18_Row_2) 
(Self_Row_1) 
(State University_Row_2) 
(Yes_Row_2) 
(Example: Jane Smith_Row_3) 
(18_Row_3) 
(Self_Row_2) 
(State University_Row_3) 
(Yes_Row_3) 
(Example: Jane Smith_Row_4) 
(18_Row_4) 
(Self_Row_3) 
(State University_Row_4) 
(Yes_Row_4) 
(Example: Jane Smith_Row_5) 
(18_Row_5) 
(Self_Row_4) 
(State University_Row_5) 
(Yes_Row_5) 
(Example: Jane Smith_Row_6) 
(18_Row_6) 
(Self_Row_5) 
(State University_Row_6) 
(Yes_Row_6) 


2017-18 Standard Verification Worksheet V1-Dependent Student Page 1 of 3 


Student Name: 
(Student Name:) 
Student SSN: XXX-XX- ____ ____ ____ ____ 
(Student SSN: XXX-XX) 
(undefined) 
(undefined) 
(undefined) 


C. Student’s Income Information to Be Verified 
NOTE: 
If you filed (or will file) an amended 2015 IRS tax return, you must contact the Financial Aid Office at your 
college before completing this section. 

Check the box that applies: 

. 
I used the IRS Data Retrieval Tool in FAFSA-on-the-Web to transfer 2015 IRS income tax information into my 
FAFSA. [The income tax information from your FAFSA will be used to complete the verification process.] 
(checkbox) Unchecked
. 
I did not (or could not) transfer my 2015 income information to the FAFSA using the IRS Data Retrieval Tool. 
I have attached a copy of my 2015 IRS Tax Return Transcript to this worksheet. 
(checkbox) Unchecked
. 
I have not filed (and am not required to file) a 2015 federal income tax return and I had no income earned 
from work in 2015. I have attached a 2015 Verification of Non-Filing Letter to this worksheet. 
(checkbox) Unchecked
. 
I have not filed (and am not required to file) a 2015 federal income tax return, but I had income earned from 
work in 2015 as listed below. I have attached a 2015 Verification of Non-Filing Letter to this worksheet. 
[List every employer and the amounts earned in 2015, even if they did not issue an IRS Form W-2. Attach 
copies of all 2015 IRS Forms W-2 that were issued to you by your employers.] 
(checkbox) Unchecked
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 2015 Amount Earned 2015 IRS Form W2 
Attached? 
Example: ABC Company $1367.75 Yes 
(Example: ABC Company_Row_1) 
($1367.75_Row_1) 
(Yes_Row_1) 
(Example: ABC Company_Row_2) 
($1367.75_Row_2) 
(Yes_Row_2) 
(Example: ABC Company_Row_3) 
($1367.75_Row_3) 
(Yes_Row_3) 


D. Parents’ Income Information to Be Verified 
NOTE: 
Provide the requested income information for each parent/stepparent listed in Section B of this 
worksheet. Notify your Financial Aid Office if your parents had a change in marital status after December 
31, 2015 or if your parent(s) filed (or will file) an amended2015 IRS tax return. 

Check the appropriate box (or boxes): 

. 
I/we used the IRS Data Retrieval Tool in FAFSA-on-the-Web to transfer 2015 IRS income tax information into 
the FAFSA. [The income tax information from the FAFSA will be used to complete the verification process.] 
(checkbox) Unchecked
. 
I/we did not (or could not) transfer my/our 2015 income information to the FAFSA using the IRS Data 
Retrieval Tool. I/we have attached a copy of my/our 2015 IRS Tax Return Transcript to this worksheet. 
[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) Unchecked
. 
I/we have not filed (and are not required to file) a 2015 federal income tax return and I/we had no income 
earned from work in 2015. I/we have each attached a 2015 Verification of Non-Filing Letter to this 
worksheet. 
(checkbox) Unchecked
. 
I/we have not filed (and are not required to file) a 2015 federal income tax return but I/we had income earned 
from work in 2015 as listed below. I/we have each attached a 2015 Verification of Non-Filing Letter to 
this worksheet. [List every employer and the amounts earned in 2015, even if an IRS Form W-2 was not 
issued. You must attach copies of all 2015 IRS Forms W-2 that were issued to you by your employers.] 
(checkbox) Unchecked
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 2015 Amount Earned 2015 IRS Form W2 
Attached? 
Example: ABC Company $1367.75 Yes 
(Example: ABC Company_Row_1) 
($1367.75_Row_1) 
(Yes_Row_1) 
(Example: ABC Company_Row_2) 
($1367.75_Row_2) 
(Yes_Row_2) 
(Example: ABC Company_Row_3) 
($1367.75_Row_3) 
(Yes_Row_3) 
(Example: ABC Company_Row_4) 
($1367.75_Row_4) 
(Yes_Row_4) 


2017-18 Standard Verification Worksheet V1-Dependent Student Page 2 of 3 


Student Name: 
(Student Name:) 
Student SSN: XXX-XX- ____ ____ ____ ____ 
(Student SSN: XXX-XX) 
(undefined) 
(undefined) 
(undefined) 


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 understand that if we 
purposely give false or misleading information, we could be fined, jailed, or both. 

Student Signature Date 
(Date_Row_1) 
Parent Signature Date 
(Date_Row_1) 


Do not mail this worksheet to the U.S. Department of Education. 

Submit this worksheet to the Financial Aid Office at your college. 

You should make a copy of this worksheet and all submitted documents for your records. 

2017-18 Standard Verification Worksheet V1-Dependent Student Page 3 of 3