Appeal For Computer Purchase
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1Appeal for Computer Purchase
Financial Aid Services
2016-2017
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 the purchase of a computer or computer equipment.
The cost of the computer or computer equipment cannot exceed $2,500. 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.
If you have already purchased the computer or computer equipment:
Submit the receipt(s) for the cost of the computer or computer equipment.
If you plan to purchase a computer or computer equipment:
Submit a printed estimate(s) from the vendor indicating the cost of the computer or computer equipment.
B. DOCUMENTATION REQUIREMENTS:
Type of Appeal
Documentation to include with appeal (check all that apply)
Offi ce use only
Computer estimate - amount $______________
FAPCES
Computer, computer equipment
Computer receipt - amount $_______________
FAPCNR
Please Note:
Purchase of entertainment hardware, software or game consoles such as PSP, Wii and Xbox will not be considered.
Financial Aid Services will allow computer appeals once every 3 years.
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 information 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)
*FAPCOM*
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