Verification Worksheet – V1/V5 Independent

2026–2027 | Rend Lake College

Your 2026-27 FAFSA was selected for verification. We will compare your FAFSA with this document. Complete and sign, attach required documents, and submit to the Financial Aid Office. Contact us promptly: (618) 437-5321 Ext. 1385 • rlcfa@rlc.edu

Independent Student's Information

Last Name, First Name, M.I. *

Warrior Tag #

Street Address (include apt. no.)

Date of Birth

City

State

Zip

Phone

Alternate Phone

Independent Student's Family Size

Include in family size:

The student.
The student's spouse, if applicable.
The student's dependent children who live with the student (or apart due to college enrollment), receive more than half support from the student, and will continue to during the award year.
Other persons living with and receiving more than half support from the student now and during the award year.

Do not include unborn children.

Full Name	Age	Relationship

Verification of 2024 Income – Student & Spouse

Select the option that applies:

The student's and spouse's 2024 tax information has been transferred to the FAFSA.

The 2024 tax information did not transfer. The student will submit IRS Tax Transcript(s) or signed copies of the 2024 return and applicable schedules.

The student and spouse filed separately and are providing 2024 IRS Tax Transcript(s) or signed copies of both returns.

The student and spouse were not employed and had no income in 2024. They will provide an IRS letter of non-filing for 2024.

The student and/or spouse were employed in 2024. All employers listed below; 2024 W-2 copies will be provided.

Employer Name	W-2 Provided?	Annual Amount (2024)

Total Income from Work:

Certification and Signature

The student signing certifies all information is complete and correct.

Warning: If you purposely give false or misleading information, you may be fined, sentenced to jail, or both.

Print Student's Name Student Signature Date