Appeal For Cost Of Attendance Increase

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for
Appeal
Cost of
Financial Aid Services
2016-2017
Attendance Increase
Name: _____________________________________________________
SPIRE ID: ___________________________
Last, First MI
Email: ____________________________________________________ Telephone Number: (
) ______ - _______
A. APPEAL INFORMATION:
Complete this form to request an increase to your cost of attendance for education related expenses. If your cost of attendance
is increased AND you have additional federal loan eligibility, we will increase your loans. If you have NO remaining federal loan
eligibility, you will need to apply for an alternative loan. This appeal will NOT make you eligible for additional grant or scholarship
funds.
B. REASONS FOR APPEAL:
Check all that apply
Documentation to include with appeal (check all that apply)
For offi ce use only
 Letter from the dependent care provider that includes the agreement for
 Dependent care expenses
FAPDEP
fees and hours.
 Letter from your professor or acceptance to the internship, outline of costs,
 Expenses related to an
FAPINT
such as: transportation and clothing (clothing items must be needed to par-
internship
ticipate in the required internship). Copies of receipts.
 Copies of your lease AND monthly utility bills. These costs must exceed the
 Monthly living expenses
FAPBUD
standard room allowance of $3,200 per term already included in the cost of
attendance.
 Mileage printout (ex: MapQuest, Google Maps, etc.), letter stating frequency
 Transportation expenses
FAPTRV
of travel, destination and reason for travel.
Please submit completed form with supporting documentation to Financial Aid Services, 243 Whitmore
Administration Building no later than:
 November 1, 2016 - if your appeal is for the fall 2016 and this is your last semester at UMass.
April 3, 2017 - if your appeal is for the spring 2017 semester.
C. SIGNATURE AND CERTIFICATION:
I certify that the information submitted for this appeal is true and complete to the best of my knowledge. I agree to provide
all supporting documentation required. I understand that failure to comply may result in the cancellation of this appeal. I further
understand that if I have provided information in previous appeals, this may be reviewed for accuracy and it may impact the
outcome of this and or any future appeal.
Please do not disregard your university bill due date while waiting for the appeal decision.
Student Signature:_________________________________________ Date:__________________
Fax completed signed form to: 413-545-1700
or email to: fadocs@fi naid.umass.edu
(Attachments must be a standard image fi le, or in one of the following fi le formats: .doc, .docx, .pdf)
*FAPLON*

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