Reconsideration Form - Kamehameha Schools Page 3
Download a blank fillable Reconsideration Form - Kamehameha Schools in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Reconsideration Form - Kamehameha Schools with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Provide supporting documents with Reconsideration Request Form
Reason for Reconsideration
Required Supporting Documentation
1. Disagree with:
Copy of documentation to dispute application status or decision made.
Incomplete/Late:
Application status
USPS Service Receipt.
Late, Incomplete or Ineligible
Turndown:
Verification of Hawai‘i Residency:
Decision made
Options:
Turndown
o
Tax Filers:
No Funds
Submit signed copy of filed personal 2015 state tax return.
o
Non-Tax Filers:
Hawai‘i voter verification.
Residential military release or discharge.
Tuition statement from last post-secondary institution
attended.
Max funding for KS award
o
Request an extension to be ELIGIBLE for an award. Must be
based on extenuating circumstances and supported by
documentation.
No Funds:
Case by case requirements may be requested.
2. Change in size of family
Copy of birth announcement from medical facility or court documents of
adoption for added family member.
3. Change in employment status
Copy of last pay stub from former employer in current calendar year
for student, spouse, or parent(s); if applicable.
Termination, unemployment, change of
employment, change of employment
Copy of recent pay stub from current employer for student, spouse, or
from full time to part time, position
parent(s); if applicable.
change, decrease in salary/wages,
Letter from employer on company stationery regarding employment
retirement.
status change; reduced hours, termination, etc.
Copy of documentation verifying income not from employment. (i.e.
unemployment benefits, worker’s compensation, untaxed pension
amounts, veteran’s benefits, etc.)
Documentation of anticipated retirement benefits (including social security)
received by all members of family in the current year.
4. Change in marital status
Copy of marriage certificate, separation agreement or divorce decree.
If no separation agreement or divorce decree, provide a statement
indicating date of intended separation/divorce.
o
Separation must be with the intent to divorce; couple must reside
at different addresses.
Is there an agreement of financial support payments? (e.g. child
support)
o
If yes, please list amount of child support payment and provide
proof of child support payments.
Updated list of dependents in current household.
Copy of documentation evidencing loss of assets. (e.g. letter from the
5. Loss of assets
lender or financial institution, financial statements after date of loss,
etc.)
Identify source and amount of income.
6. Loss of one-time income
Documentation of IRA rollover, if applicable.
Document No. 065AI
Rev. 3/1/2017
Page 3 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial