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Last Name: ___________________________ First Name: ____________________________ MI: _______
MHEC ID#: Date of Birth: ______/_______/_______ (MM/DD/YYYY)
Last Four Digits of SSN:
When you completed the 2024-2025 Free Application for Federal Student Aid (FAFSA) you indicated on the application
that you, your spouse, and/or parent(s) did “NOT FILE” a 2022 IRS Tax Return. Therefore, you, your spouse, and/or
parent must complete this Non-filing form in lieu of submitting the IRS Non Tax filing statement. Please confirm your
status below and check () the appropriate statement and submit W-2(s) or 1099 forms for each employer if required.
NOTE: Your consideration for any applicable State scholarship or grant program will be delayed if this form is incomplete and
supporting documentation is not submitted.
I, the student, certify I did not work in 2022, and the IRS has no record of a filed Form 1040 for the tax year 2022.
I, the student, certify that I did work in 2022, but I was not required to file a tax return for the 2022 year.
I, the parent of ________________________________, certify that I did not work in 2022, and the IRS has no
record of a filed Form 1040 for the tax year 2022.
I, the parent of ________________________________, certify that I did work in 2022, and the IRS has no record
of a filed Form 1040 for the tax year 2022.
Students Signature: ___________________________________________________________ Date: ____________
Parents Signature: ____________________________________________________________ Date: ______________
I, the student or my spouse (if applicable), certify that I (or spouse if applicable) did not work in 2022, and the IRS
has no record of a filed Form 1040 for the tax year 2022.
I, the student or my spouse (if applicable), certify that I or my spouse (if applicable) did work in 2022, but was not
required to file a tax return for the 2022 year.
Students Signature: ____________________________________________________________ Date: ____________
Spouses Signature (if applicable): _________________________________________________ Date: ____________
Maryland Higher Education Commission
Office of Student Financial Aid
6 N. Liberty Street, Ground Suite
Baltimore, MD 21201
(410) 767-3300; (800) 974-0203
TTY for the Dead (800) 735-2258
MHEC.MARYLAND.GOV
VERIFICATION OF
NON-FILING FORM
Verification Worksheet
2024-2025 Academic Year
SECTION A: STUDENT INFORMATION (PLEASE PRINT)
SECTION B: DEPENDENT STUDENTS (STUDENT & PARENT MUST SIGN)
SECTION C: INDEPENDENT STUDENTS (STUDENT & SPOUSE, IF MARRIED, MUST SIGN)
SUBMIT THIS FORM AND ALL REQUIRED DOCUMENTS TO MHEC THROUGH YOUR MDCAPS ACCOUNT.
SELECT UPLOAD FILES FROM THE HOME DASHBOARD AND FOLLOW THE UPLOAD PROMPTS.
ALL DOCUMENTS MUST BE RETURNED TO MHEC.