Appeal For Dependency Override Form

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APPEAL FOR DEPENDENCY OVERRIDE
2016-17 School Year
Student Name: _______________________________________ ID Number:_____________________________
Address: ___________________________________________________________________________________
City, State
Zip Code
Telephone Number: _____________________________ E-mail Address: _______________________________
A Financial Aid Administrator may use professional judgment on a case-by-case basis to determine if individual
students have special circumstances that warrant re-evaluation of aid eligibility. You may have unusual
circumstances that justify an override to make you an independent student.
Submit the required information listed below for Dependency Override.
Please attach a detailed statement that clearly outlines and explains the unusual circumstances that you
believe make it inappropriate for you to provide parental information on the FAFSA. Be sure to sign and date
this narrative.
Submit a signed and dated Independent Verification Tracking Group V1 Worksheet and all required
documentation.
Submit three signed and dated letters substantiating and documenting the existence of your unusual
circumstance.
• Two of these letters must be from a counselor, therapist, doctor, member of the clergy, social worker,
etc. on letterhead.
• The third letter can be from another professional as listed for the first two letters or it may be from a
person having comprehensive knowledge regarding the existence of your unusual circumstances.
(Make sure the person’s name, address and phone number appear on the letter.) A copy of a police
report may also be submitted, if applicable.
700 West State Street, Room S222, Milwaukee, WI 53233-1443
Phone: 414-297-6282
Fax: 414-297-6466
matc.edu
e-mail: finaid@matc.edu
MATC is an Affirmative Action/Equal Opportunity Institution
and complies with all requirements of the Americans With Disabilities Act.
10:07-E

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