School Tax Credit Verification Form

School Tax Credit Verification Form
Please complete this form to verify eligibility information for a school tax credit claim. All information should be accurate and up to date.
Student or Dependent Full Name
First NameLast Name
Date of Birth
MonthDayYear
Date
Relationship to Claimant
Name of School Attended
School Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Academic Year
Grade Level
Enrollment Status
Claimant's Full Name
First NameLast Name
Claimant's Email Address
example@example.com
Claimant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: