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Financial Aid Loss of Income Appeal

Use this online form to begin the appeal process to have your FAFSA eligibility re-determined based on a loss of income.  A follow-up email will be sent to you requesting pertinent documentation and an appointment be made with a Financial Aid Advisor.

Biographical Information:
Full Name:
Student Number:
Email Address:


Loss of Income Scenario

Please provide a one paragraph summary of the details surrounding your loss of income.



Household Information Please report yourself and all the members of your household. Dependent Students list yourself, your parent(s), and your parent(s) other dependents if any.  Independent Students list yourself, your spouse if applicable, and dependents if any. Please use the space below to list additional members of your household, noting:
Full Name Age Relationship College
Please use the area below to report additional family members in your household.



2008 Tax Filing Information
Student:
Employer:
Earnings:

Spouse:
Employer:
Earnings:

Parent(s):
Employer:
Earnings:




Other Income and Exclusions (do not leave any box blank, If zero, please type "0")
Provide Parent information if Dependent, or Spouse information if Married.

  Student Parent/Spouse
Welfare Benefits, including Temporary Assistance to Needy Families (TANF). Do NOT include food stamps or subsidized housing.
Social Security benefits received that were NOT taxed such as SSI.
Payments to tax-deferred pension and savings plans paid directly or withheld from earnings.
Child support received for all children.
Housing, food, and other living allowances paid to members of the military, clergy and others (include payments and cash value of benefits).
Veterans Non-Education benefits.
Any other untaxed income and benefits not reported elsewhere on this worksheet, such as worker's compensation.
Money received or paid on your behalf (e.g. bills, rent, etc.) not reported elsewhere on this worksheet.
Child support paid due to divorce or legal separation.
Federal Work Study or other financial aid reported as income.

   

 

 



Financial Aid - Phone: 517-483-1200 - Contact Us