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  • A federally funded program by the U.S. Department of Education

    • Student Information 
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    • LOW INCOME Statement: Low Income status will be determined using either the Dependent or Independent Income Verification Forms. You are a dependent if your parent/guardian claimed you on their taxes.
      FIRST GENERATION Statement: First Generation status will be determined using information entered on the application for admission to UW Superior.
      DISABILITY Statement: You must be registered with Disability Student Services at UWS.

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    • Check all that apply


    • Low-Income Eligibility Certification 

    • 2019-2020 Low-Income Eligibility Certification Independent Students: Based on 2018 Federal Household Taxable Income and Family Size

    • Fill this Portion If You WERE Required to File 2018 Federal Income Taxes

      Please use the table below to look up your family size and compare your 2018 taxable household income to see if you meet the low-income levels as published by U.S. Dept. of Health

    • Low income table

    • Taxable income can be found on 2017 Federal Tax Forms:
      1040EZ: Line 6; 1040A: Line 27; 1040: Line 43

      Student: My 2018 household taxable income and size of family unit are within the low-Income levels and therefore, I certify that my household qualifies as low-income

    • Clear
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    • For family units with more than eight members, add the following amount for each additional family member: $6,480 for the 48 contiguous states, The term "low-income individual" means an individual whose family's taxable income for the preceding year did not exceed 150 percent of the poverty level amount.

    • Fill this Portion If You WERE NOT Required to File 2018 Federal Income Taxes

      I was not required to file taxes due to income level for 2018 year. I certify that my household qualifies as low-income.

    • Clear
    •  - -

    • Fill this Portion If You and/or Your Parent/Guardian WERE Required to File 2018 Federal Income Taxes

      Please use the table below by looking up your family size and compare your 2018 taxable house-hold income to see if you meet the low-income levels as published by U.S. Department of Health and Human Services.

    • Low income table

    • Taxable income can be found on 2017 Federal Tax Forms:
      1040EZ: Line 6; 1040A: Line 27; 1040: Line 43

      Dependent Student: Our 2018 household taxable income and size of family unit are within the low-Income levels and therefore, I certify that our household qualifies as low-income.

    • Clear
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    • Parent/Guardian of Dependent: Our 2018 household taxable income and size of family unit are within the lowincome levels and therefore, I certify that our family household qualified as low-income.

    • Clear
    •  - -

    • For family units with more than eight members, add the following amount for each additional family member: $6,480 for the 48 contiguous states, The term "low-income individual" means an individual whose family's taxable income for the preceding year did not exceed 150 percent of the poverty level amount

    • Fill this Portion If You and Your Parent/Guardian WERE NOT Required to File 2018 Federal Income Taxes

    • Dependent Student: I was not required to file taxes due to income level for 2018 year. I certify that our household qualifies as low-income

    • Clear
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    • Parent/Guardian of Dependent: I was not required to file taxes due to income level for 2018 year. I certify that our household qualifies as low-income

    • Clear
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    • Submit 
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