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20182019V4DependentCustomVerificationWorksheet STUDENTINFORMATION / / Hostname(please print)FirstNameDateofBirthM. I. StudentIDSocialSecurity×TelephoneNumbertobestreachyouListthepeopleinyourparentshouseholdaccordingtothebelowinstructions:HOUSEHOLDINFORMATIONThestudent.
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Dependent verification worksheet v4 is a form used to verify the eligibility of dependents for benefits such as health insurance or tax credits.
Employees or individuals who have dependents listed on their benefits or tax forms are required to file dependent verification worksheet v4.
Dependent verification worksheet v4 can be filled out by providing accurate information about the dependents, proof of relationship, and any other required documentation.
The purpose of dependent verification worksheet v4 is to ensure that only eligible dependents receive benefits and to prevent fraud or misuse of benefits.
Information such as dependent's name, date of birth, social security number, and proof of relationship must be reported on dependent verification worksheet v4.
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