Parent Non-Filer Certification
(Parent(s) Stepmother, Stepfather, or Guardian)

Note:  Whether you filed a tax return or not, you must submit copies of all W-2 and/or 1099 forms received for the 2019 tax year.

Parent(s) who will not file a 2019 Federal Income Tax Return must complete this form.

Please complete ALL sections of the form.  Enter “0” if you did not receive any taxable and/or nontaxable income.

Contact Information
Federal Tax Information