2019-2020
DECLINE OR RETURN
PELL GRANT REQUEST
Office of Financial Aid
Federal Pell Grant Lifetime Eligibility Used (LEU)
There is now a lifetime limit to the amount of Federal Pell Grant a student may receive. A new federal law has set the lifeti me limit of
six years full-time enrollment or its equivalent. The maximum amount of Pell Grant a student may receive each year equals 100% of
lifetime eligibility used (LEU); therefore, each student has a total of 600% Pell Grant eligibility or LEU available.
Students have the right to decline or return Pell Grant funds during the academic year to preserve eligibility for future enrollment
periods. Undisbursed Pell Grant funds may be declined within the academic year only.
Student Name: _________________________________________ SCC Student ID #: _________________________
Declining or Returning Pell Grant Funds
I want to decline Pell Grant funds that have not yet been disbursed to me
You may decline all or part of a Pell Grant award during the academic year. You may not request to decline or return a Pell
Grant from a prior academic year.
Please check one of the following options:
Cancel my Pell Grant for the entire 2019-2020 academic year
Cancel my Pell Grant for the following term(s): Fall 2019 Spring 2020
Cancel my Pell Grant of $______________ for: Fall 2019 Spring 2020
Summer 2020
Summer 2020
I want to return Pell Grant funds that have already been disbursed to me
This process is available for the current award year only.
NOTE: Pell Grant funds must be REPAID FIRST via MySolano or the Fiscal Services office. Then, bring receipt of
payment with this completed form. Students must return the full amount of Pell Grant funds to SCC in order to
process this request.
Please return $_________________ for term(s): Fall 2019 Spring 2020 Summer 2020
SCC Fiscal Services Office:
4000 Suisun Valley Road, Bldg. 600
Fairfield, CA 94534
I, __________________________________________________________________, choose to decline or return Pell Grant funds for
which I am eligible with the understanding that any declined or returned funds may be available to me one the award year is over.
Additionally, there is no guarantee that I may be eligible for Pell Grant for future enrollment periods, as eligibility is determined
annually with the submission of the Free Application for Federal Student Aid (FAFSA).
________________________________________________________________________ __________________________________
Student Signature Date
DECL20
Rev. 3/20/19
Fall 2019 Deadline: 9/13/2019 Spring 2020 Deadline: 2/14/2020 Summer 2020 Deadline: 6/12/2020