Dependency Status Appeal Form - Pdccc printable pdf download

DEPENDENCY STATUS APPEAL FORM

Name __________________________ Student ID# _____________ Date of Birth ___/___ /___

The Higher Education Act allows an aid administrator to make dependency overrides on a case-

__________________

Current address: __________________________________________Phone:

by-case basis for students with unusual circumstances, which clearly show them to be

independent of parental support.

What this means to you: Generally, the only reasons we may consider for a dependency

override before age 24 would include that of abuse and/or abandonment. Appeals based upon

abandonment must state how long the student has had no contact from both biological parents.

What you must do now: Please submit a written statement outlining the specific reasons why

you should be considered for a Dependency Status Appeal, including signed and dated

documentation from a third party organization such as the Department of Social Services or an

order from the Court. An updated statement is required each year until the student is 24 years

old or meets another dependency test on the FAFSA.

Be advised, these reasons do not qualify for an override, even if more than one apply:

1) Parents refuse to contribute to the student’s education;

2) Parents are unwilling to provide information on the FAFSA or for verification;

3) Parents do not claim the student as a dependent for income tax purposes;

4) Student demonstrates total self-sufficiency.

Please provide a detailed statement below of the unusual circumstances (attach another page, if necessary):

_______________________________________________________________________________________________________________________________

By signing below, I certify that all of the information on this form and in my written statement

is true and complete to the best of my knowledge.

Signed: ___________________________________________________________

Date submitted: ______________________________

Financial Aid Use Only: Date Received______________________

Financial Aid Officer’s decision is final, and not subject to appeal. Answers will be given in writing, either

Please note: It may take up to one month to receive an answer in writing from the date received. The

via mail or email. Check your student email account on a regular basis in case we need more information. If

you do not respond to a request in a timely manner, unfortunately we have no choice but to deny the request.

100 North College Drive, Franklin, VA 23851* 271 Kenyon Road, Suffolk, VA 23434

FinancialAid@pdc.edu

1-855-877-3918

Revised 3/11/16

Dependency Status Appeal Form - Pdccc