Florida State Office Of Financial Aid (Page 3 of 3) in pdf

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The below documentation is REQUIRED for the review of your application!

•

Income Reductions: Personal statement explaining details of your income reduction,

employment verification from previous employer (statement on company letterhead

stating dates of employment and amount earned to date is acceptable), copy of last or

most recent pay stub, proof of unemployment benefits, 2015 W2’s/1099, 2015 tax return

) AND first two pages of

transcript (download or request a copy at

2015 tax return

•

Exceptions to normal income: Personal statement/letter of explanation, letter from

an attorney, accountant or the income source to verify status

•

Loss of business/farm: Letter from an attorney or accountant to verify status of the

property/asset lost

•

Other situation: If retirement, personal statement, type of retirement and monthly

pension(s) amount(s); If disability, personal statement, proof of disability and monthly

benefits received. If other situation, please provide documentation to support claim.

*Additional documentation may be required before a professional judgment can be

made. Any changes made to your FAFSA after this application has been processed

will result in a hold being placed on your file. *

Section III. Certification of Statement

I/We certify that the information provided on this form is complete and accurate to the best of

my/our knowledge. If additional changes occur during the academic year that would alter the

information provided on this Professional Judgement form, I/We will immediately contact the

Financial Aid Office.

Once your special circumstance application has been received, the review process has an

estimated time frame of six to eight weeks before a judgment has been determined.

* Application must be signed by student and will not be accepted without all

signatures of parties involved*

Student’s Signature: __________________________________ Date:____________

Print Name:_________________________________

Spouse’s Signature:___________________________________ Date:____________

Print Name:_________________________________

Parent 1 Signature: ___________________________________ Date:____________

Print Name:_________________________________

Parent 2 Signature:___________________________________

Date:___________

Print Name:__________________________________

Florida State University’s Use of Social Security Number policy is available at

282 Champions Way P.O. Box 3062430 University Center A4400 Tallahassee, FL 32306

Phone: 850-644-0539 Fax: 850-644-6404 Email:

OFACS@admin.fsu.edu

Revised 3/2/2016

Florida State Office Of Financial Aid Page 3

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