Cost Of Attendance Revision Request Financial Aid And Scholarships
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1
2Office of Financial Aid and Scholarships
218 Kerr Administration Building, Corvallis OR 97331-2120
T 541-737-2241 | F 541-737-4494 | E financial.aid@oregonstate.edu | W
COST OF ATTENDANCE REVISION REQUEST
16/17 Aid Year
Student Name
Student ID#
ADJUSTMENT TO ESTIMATED COST OF ATTENDANCE:
Required documentation listed on reverse side.
Your cost of attendance may be adjusted to include other allowable cost incurred to meet your educational needs. Requests
are reviewed on a case-by-case basis to determine approval. Documentation of the additional expense must be attached to
this request. If you have already reached your maximum eligibility for loans and other aid for the year this budget revision
will not impact your aid offer.
Medical or Dental Expense (see reverse side)
Request to be considered Living Off-Campus Room & Board
Computer Expense
one time allowance, see reverse side
(
)
Childcare Expense (see reverse side)
Commuting from outside the Corvallis area (see reverse side):
_______________________
:
City:
Check all that apply
Summer ( ) Fall ( ) Winter ( ) Spring ( )
Non-Traditional Student Living Expense:
_
I am a single parent living alone with legal dependents under 18 years old (list below).
Name _______________________ Age _____
Name _______________________ Age _____
_
I am 25 or older and I am the sole occupant of my dwelling.
Tuition/fee review (see definition on reverse side and explain below)
************** SIGNATURE AND AID REVISION APPROVAL ***************
I accept additional Federal Loans to assist with payment of these costs or changes, if I have remaining eligibility.
I intend to apply for an Alternative Loan to assist with my increased costs.
I have read the reverse side of this form and have supplied all required documentation required. All
of the information supplied is an accurate statement regarding my current expenses. All the
information included is true and complete to the best of my knowledge. If asked by an authorized
official, I agree to give proof of the information I have submitted. Please sign form in ink. We are
unable to accept e-signed documents.
Student Signature
Date
MISCB – Department use only
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