This form contains 34 fields organized into 11 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Academic Period
for a Text
Specify the academic period for which the tuition payments were made. This could be a semester or a specific term.
Additional Information
Service Provider/Acct. No. (see instr.) Text
Enter the service provider or account number if applicable. Refer to the form instructions for more details.
Text
Enter any additional information as required by the form instructions.
topmostSubform[0].CopyA[0].RightCol[0].f1_10[0 Text
Enter any additional information as required by the form instructions.
Service Provider/Acct. No. (see instr.) Text
Enter the service provider or account number if applicable, as per the instructions provided.
Filer Information
FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Text
Enter the name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the filer (educational institution).
FILER'S employer identification no Text
Enter the employer identification number (EIN) of the filer. This should be an 11-digit number.
Max length: 11 characters
FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Text
Enter the name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the filer (educational institution).
FILER'S employer identification no Text
Enter the employer identification number (EIN) of the filer. This is a unique number assigned to the educational institution.
Max length: 11 characters
Financial Adjustments
Number
Enter any adjustments made for a prior year. This could include changes to tuition or related expenses that were reported in a previous year.
topmostSubform[0].CopyB[0].RightCol[0].c2_5[0]_1 CheckBox
Check this box if the student received a refund of qualified tuition and related expenses paid in a prior year.
Financial Details
4 Adjustments made for a prior year Text
Enter any adjustments made for a prior year. This may include changes to previously reported amounts.
Number
Enter the amount of any adjustments made for a prior year. This could include changes to tuition or related expenses that were previously reported.
topmostSubform[0].CopyA[0].RightCol[0].c1_5[0]_1 CheckBox
Check this box if the student received a refund of qualified tuition and related expenses.
topmostSubform[0].CopyA[0].RightCol[0].f1_12[0 Number
Enter the total amount of scholarships or grants that were administered and processed by the educational institution.
Number
Enter the total amount of payments received for qualified tuition and related expenses during the tax year.
topmostSubform[0].CopyB[0].RightCol[0].f2_12[0 Number
Enter the total amount of scholarships or grants received during the tax year.
General Information
topmostSubform[0].CopyA[0].CopyAHeader[0].c1_1[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].CopyAHeader[0].c1_1[1]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].LeftCol[0].c1_2[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
Institutional Reporting
topmostSubform[0].CopyB[0].CopyBHeader[0].c2_1[0]_2 CheckBox
Check this box if the educational institution changed its reporting method for this student.
Scholarship Adjustments
Text
Enter any scholarships or grants that were adjusted for a prior year. This includes any changes to previously reported amounts.
Student Enrollment Status
topmostSubform[0].CopyB[0].RightCol[0].c2_3[0]_1 CheckBox
Check this box if the student was enrolled at least half-time during any academic period that began in the tax year.
topmostSubform[0].CopyB[0].RightCol[0].c2_4[0]_1 CheckBox
Check this box if the student was a graduate student during any academic period that began in the tax year.
Student Information
STUDENT'S TIN Text
Enter the student's Taxpayer Identification Number (TIN). This should be an 11-digit number.
Max length: 11 characters
STUDENT'S name Text
Enter the full name of the student.
Street address (including apt. no.) Text
Enter the street address of the student, including apartment number if applicable.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city or town, state or province, country, and ZIP or foreign postal code of the student.
no Text
Enter the student's identification number. This is typically the student's social security number or other tax identification number.
Max length: 11 characters
STUDENT'S name Text
Enter the full name of the student for whom the tuition statement is being prepared.
Street address (including apt. no.) Text
Enter the street address of the student, including apartment number if applicable.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city or town, state or province, country, and ZIP or foreign postal code of the student's address.
Student Status
topmostSubform[0].CopyA[0].RightCol[0].c1_3[0]_1 CheckBox
Check this box if the student was at least a half-time student during any academic period that began in 2024.
topmostSubform[0].CopyA[0].RightCol[0].c1_4[0]_1 CheckBox
Check this box if the student was a graduate student during any academic period.