Office of Financial Aid
2019-2020
BUDGET ADJUSTMENT
REQUEST INSTRUCTIONS
BUDINC Rev. 2/25/19
I
nstructions: You may request to have additional educationally related costs added to your Cost of
Attendance/Student Budget. Costs must have been incurred by you during the fall and/or spring semester to be
considered. Payment documentation must verify you made the payments. Attached proof of payments (credit
card receipts, cancelled checks, bank statements, etc.) for all of your expenses. Listed below are the types of
expenses we will be able to consider and the documentation required.
Automobile repair and expenses: Car repairs not covered by insurance and care registration paid during the
academic year. Include make, model and year of your vehicle along with itemized invoices showing the work
being done.
Automobile Insurance: Provide a copy of your insurance policy (not your card) that includes your name, premium
amount, and policy period.
Mileage: If you have extraordinary mileage costs commuting to and from our campus, such as commuting more
than 50 miles round trip three or more times days per week, provide a signed statement indicating the make,
model, and year of your vehicle. Also submit a Google Map printout from your home to the campus and a copy of
your class schedule.
Medical/Dental/Optical: If you have these expenses and they are not covered by insurance or MediCal, provide a
copy of your health care provider’s billing statements that show your costs, date of treatment, and the amount
you paid. Projected expenses may be considered if they occur during the academic year and your health care
provider’s statement is signed on company letterhead, indicating the required treatment and medical costs, and
scheduled date of treatment.
Medical Insurance: Provide a copy of your insurance policy (not your card) that includes your name, premium
amount, and policy period.
Computer hardware and software allowance: Computer expenses allowed for school use include a CPU,
monitor, keyboard, printer and relevant software. A computer workstation plus one hardware and/or software
upgrade, not to exceed $2,000 is allowed once per your attendance at Solano Community College. If the
computer workstation was purchased during a period of non-enrollment, but you are making payments during the
academic year, those payments may be considered. Provide a copy of your purchase order that includes your
name, date, and amount.
Child Care: Attach a signed letter detailing the hours each day, which days per week, and the amount you pay
each week for each child. Indicate whether or not you are qualified for reductions or forgiveness of any of these
costs. Attach a copy of your class schedule.
Also provide a statement from your childcare provider on their letterhead indicating the name and age of each
child, the days that childcare is provided and the weekly daycare costs associated with each child. If your
childcare provider does not have letterhead, his/her signed statement must include their contact information and
the address where the daycare is provided.
The deadline for submitting this form is June 30, 2020.
BUDINC Rev. 2/25/19
Student Name:
SCC ID #:
I am requesting a budget adjustment to allow for the following expenses (check appropriate box). Attach
additional statements if needed. Be sure to attach proof of your expenses. Expenses must have occurred during
the 2019-20 Academic Year.
8/12/19 to 5/21/20 for the Academic Year; 8/12/19 to 12/15/19 for Fall Only; 1/13/20 to 5/21/20 for Spring only.
Automobile Expenses
Registered Owner:
Make:
Year:
Date of Service
Name of Service Provider
Cost of Service
Medical/Dental/Optical Expenses
Date of Service
Name of Service Provider
Cost of Service
Computer Expenses
Date of Service
Name of Service Provider
Cost of Service
Child Care Expenses
Date of Service
Name of Service Provider
Cost of Service
My signature certifies that this information is complete and accurate, and I have included appropriate receipts
and documentation to support my request. WARNING: if you purposely give false or misleading information, you
will be reported to the U.S. Department of Education Office of Inspector General, and you may be fined,
sentenced to jaiI, or both.
Student Signature
Date
For Financial Aid Office Use Only
Request Denied
Request Approved
Comments:
Specialist:
Date:
FAD:
Date: