Request for Professional Judgment Review: Extenuating Financial Circumstances Header Image

2021-22 REQUEST FOR PROFESSIONAL JUDGMENT REVIEW:

EXTENUATING FINANCIAL CIRCUMSTANCES

Name*
Parent's Name (if applicable)

As required by federal student aid regulations, a family's actual 2019 income must be reported on the 2021-22 FAFSA in order to assess financial need for the 2022-22 academic year.  However, if your family's 2020 income, or 2021 projected income, is substantially lower than 2019 income, and you can adequately document the reduction, you may use this form to request a professional judgment review to determine if 2020 income, or 2021 projected income, may be used in determining your eligibility for need-based aid programs.  If you are dependent on your parents for FAFSA filing purposes, your parent should submit this request.

Please read and respond to the following items.  

Upload a written explanation and/or documentation at the end of the section.

Check family member(s) with income reduction:*
Check year of income reduction (choose only one year)*
Check the item below that best describes the loss or reduction of income.*
Upload a written explanation and/or documentation from the employer or other agency (if applicable) to support your claim of loss of income.
No File Chosen
File uploads may not work on some mobile devices.

Report below all income for 2020 (before taxes and other deductions).

Upload copies of W-2 forms, 1099 Forms, unemployment benefits award letter, or proof of other types of income, at the end of the section.

Also upload a signed copy of your 2020 U.S. Income Tax Return, at the end of the section.

Upload supporting documentation - 2020 W-2 Forms, 1099 Forms, unemployment benefits award letter, proof of other types of income listed, and a signed copy of 2020 U.S. Income Tax Return.
No File Chosen
File uploads may not work on some mobile devices.

Report below all actual and projected income for 2021 (before taxes and other deductions).

Upload copies of W-2 forms, 1099 Forms, unemployment benefits award letter, or proof of other types of income, at the end of the section.

Upload supporting documentation - 2021 W-2 Forms, 1099 Forms, unemployment benefits award letter, proof of other types of income listed
No File Chosen
File uploads may not work on some mobile devices.

Certification:  I certify that the information provided in this document is true and correct to the best of my knowledge.

Use your mouse or finger to draw your signature above
Use your mouse or finger to draw your signature above
Powered by Formstack Create your own form