2014-2015 Financial Aid Income Change Appeal Page 3
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C. Retirement
Student, spouse or parent who worked in 2013 has retired.
Required documentation:
o
Copy of last pay stub(s) from previous employer(s)
o
Copy of retirement benefit statement
o
Letter from previous employer on letterhead stating last date of employment
D. Death of spouse or parent
Spouse or parent passed away after the FAFSA was filed.
Required documentation:
o
Copy of death certificate, obituary, or funeral program
E. Separation or divorce of parents
Student’s parents were married when the FAFSA was filed, but have now separated or divorced.
Required documentation:
o
Court documentation verifying legal separation or divorce, or letter from attorney documenting that legal
proceedings have begun
F. Reduction or loss of support or benefits
Student, spouse or parent received support or benefits in 2013 that have been terminated or reduced. Support or
benefits may include: worker’s compensation, unemployment benefits, child support, Social Security benefits,
pensions, etc.
Required documentation:
o
Last check stub or printout of benefit received
o
Letter from agency on letterhead verifying the date and amount of benefit lost
G. One-time income
Student, spouse or parent received non-recurring income in 2013 from a pension, IRA, annuity, inheritance,
settlement, etc.
Required documentation:
o
Copy of form 1099 or other statement from paying agency showing the one-time income
o
Explain why the one-time income is not available for education expenses; include documentation.
H. Other
You, your spouse, or parent has other unusual circumstances not listed above.
Required documentation:
o
Explain the circumstances in detail, including the impact on your ability to pay for your educational
expenses
o
Attach supporting documentation of the circumstances
Section B: Family’s Special Circumstances
Whose income decreased (check all that apply)?
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Student’s spouse
Student’s mother
Student’s father
Student
What date did the change in circumstance occur? ______/______/______
*Attach a typed, signed personal statement explaining, in as much detail as possible, why you are requesting a change
in income. Please list dates and provide appropriate documentation. Be as detailed as possible about the change in
your circumstances.
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K:\FinancialAid\FA FORMS\2014-2015\14-15 Appeals\Income Change Appeal form 2014-15.doc
(Revised 02/15/14 color yellow)
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