VERIFICATION WORKSHEET
OFFICE OF FINANCIAL AID DEPENDENT STUDENT
Student's Name NDid
Last First
STEP 1 - Family Information – 2025/2026 Academic Year
Parents’ Current
Marital Status Married Divorced Unmarried, living together Unmarried, not living together
(Select One) Separated Widowed Single adoptive parent Single, donor conceived child
Carefully read the instructions and, in the chart below, include:
• Student
• Student’s legal parent(s) – biological or adoptive
o If your legal parents are married or not married, separated, or divorced but live together, list both parents.
o If your legal parents are separated or divorced (and do not live together), list the parent who provided the
majority of your support for the last 12 months, even if you did not live with them.
If remarried, list legal parent and stepparent.
o If your parent was never married (and does not live with your other legal parent) or widowed (and not remarried),
list that parent.
If widowed and remarried, list legal parent and stepparent.
• Student’s parents’ other dependent children if your parent(s) will provide more than half of their support from
July 1, 2025 through June 30, 2026 (list these children even if they do not live with your parents and are a
student enrolled in an undergraduate program)
• Other people only if they live with student’s parent(s) and student’s parent(s) provide more than half of their
support and will continue to do so from July 1, 2025 through June 30, 2026
Expected
Undergraduate/
Full Name Age Relationship Name of College Enrollment Grad
Graduate
Date
Student
STEP 2 - Student’s 2023 Tax Filing Status
Did you file or were you required to file a 2023 U.S. federal income tax return or Foreign National Tax Return?
Yes. Continue to STEP 3.
No, and I had no earnings from work. Continue to STEP 3.
No, but I had some earnings from work. List below all sources and amounts of income from
2023 and submit all earnings statements (e.g., W-2, 1099-MISC) received in 2023. Continue to STEP 3.
W-2 or Equivalent
Source of 2023 Income Amount
Document Provided
$
$
$
TOTAL $
STEP 3 – Parent(s)’ 2023 Tax Filing Status
Did your parent(s) file or were they required to file a 2023 U.S. federal income tax return or Foreign National Tax Return?
Yes. Continue to STEP 4.
No, and my parent(s) had no earnings from work. Submit the Parent Non-Tax Filer’s Statement.
Continue to STEP 4.
No, but my parent(s) had some earnings from work. Submit the Parent Non-Tax Filer’s Statement,
all parent(s)’ earning statements (e.g., W-2, 1099-MISC) received in 2023. Continue to STEP 4.
STEP 4 – Other 2023 Income Information
Please report all applicable income information for the parent(s) and student below for the 2023
tax year. Please indicate $0 in any field that does not apply.
PARENT(S) STUDENT
Child support PAID to another household during 2023 (attach
separate sheet if needed).
Paid for _________________ Paid to __________________
$
Paid for _________________ Paid to __________________
$
Child support you RECEIVED for all children (including the
$ student) in 2023. Do not include foster care or adoption payments.
Other untaxed income not reported elsewhere (e.g., workers’ compensation,
disability, untaxed Social Security, military/clergy housing or living allowances,
$ etc.). Source: $
STEP 5 – Certification
I certify that all of the information reported on this worksheet is complete and correct. The student and student’s
parent must sign this worksheet. Original signatures required; electronic signatures are not acceptable.
Student Signature Date
Parent Signature Date
Please submit the signed and completed form, along with supporting documentation,
to the Office of Financial Aid via our secure document upload portal (go.nd.edu/fa-forms).
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