Dependency Verification Form

This form must be completed by the parent of the student listed below. All responses for specific tax years must be yes or no. We cannot accept uncertain responses. If the student is claimed in some years by one parent and other years by a different parent, both parents should separately complete this form and indicate the year(s) they have or will claim the student.

Send any questions or clarifications to reciprocity@wisconsin.edu

Student Dependency Information

Student Full Name

Parent Full Name

Have you claimed the above-named student as a tax dependent for the 2024 tax year?

Yes
No

Will you claim the above-named student as a tax dependent for the 2025 tax year?

Yes
No

Parent Signature

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