Office of Financial Aid
2019-2020
DEPENDENCY STATUS
CHANGE REQUEST
DEPO20 Rev. 3/20/19
Student Name: ______________________________________ SCCID# ______________________
Part 1 of 4: Student Questionnaire
Section 480(d) of the Higher Education Act (HEA) of 1965, as amended defines an INDEPENDENT student as someone
whose circumstances fit into a specific category. If you can answer YES to any one of the questions below, you are
considered an INDEPENDENT student for financial aid purposes, and parental information is not required on the 2019-
2020 Free Application for Federal Student Aid (FAFSA).
1. Were you born before January 1, 1996?
Yes No
2. As of today, are you married? (Also answer “yes” if separated but not divorced)
Yes No
3. At the beginning of the 2019-2020 academic year, will you be working on a Masters or Doctorate
program (such as MA, MBA, JD, PhD, EdD, graduate certificate, etc.)?
Yes No
4. Are you currently serving active duty in the U.S. Armed Forces for purposes other than training?
Yes No
5. Are you a veteran of the U.S. Armed Forces?
Yes No
6. Do you have children who will receive more than 50% support from you between July 1, 2019 and
June 30, 2020?
Yes
No
7. Do you have dependents other than your spouse or child who live with you and will receive more
than 50% support from you between July 1, 2019 and June 30, 2020?
Yes
No
8. At any time since you turned age 13,
were both your parents deceased, were you in foster care, or were
you a dependent or ward of the court?
Yes
No
9. Are you or were you an emancipated minor as determined by a court in your state of
legal
residence?
Yes
No
10. Are you or were you in a legal guardianship, by someone other than your parent or stepparent, as
determined by a court in your state of legal residence?
Yes
No
11. At any time on or after July 1, 2019, did your high school or school district homeless
liaison determine that you were an unaccompanied youth and homeless?
Yes
No
12. At any time on or after July 1, 2019, did the director of an emergency shelter or transitional
housing program funded by the U.S. Department of Housing and Urban Development determine that
you were an unaccompanied youth and homeless?
Yes
No
13. At any time on or after July 1, 2019, did the director of a runaway or homeless youth basic center
or transitional living program determine that you were an unaccompanied youth and
Homeless, or were self-supporting and at risk of being homeless?
Yes
No
If you answer NO to all of the above questions, then you and your parent(s) share responsibility for your higher educational
expenses because you are considered a DEPENDENT student. Your parent(s)’ financial information must be provided on
the 2019-2020 FAFSA.
If you have a special circumstance that prevents you from providing parental information, you may be able to submit
your FAFSA; however, it will be considered conditional and incomplete. You MUST provide documentation to verify your
situation and attach it to this completed form.
DEPO20 Rev. 3/20/19
What is a Dependency Override?
A dependency override occurs when a financial aid administrator exercises professional judgement and overrides the
Department of Education’s criteria for dependent students. An override may only be granted on a case-by-case basis for
students with unusual & exceptional circumstances. These circumstances must show compelling reason for a student to be
considered independent rather than dependent.
What conditions COULD warrant a Dependency Override?
Documented Abandonment
Physical or Mental Abuse
Parental Drug Abuse
Severe Estrangement from Parents
Parental Mental Incapacity
Parental Incarceration
What conditions DO NOT warrant a Dependency Override?
By Federal Law, the following conditions DO NOT warrant a dependency override:
Parents refuse to provide information on the FAFSA application or for verification
Parents do not claim student as a dependent for income tax purposes
Parents unwilling or unable to contribute to a student’s education
Student demonstrates self-sufficiency
Student reluctant to request the income information from parents
Student does not wish to communicate with parents
What to expect after filing your Dependency Override Request?
If your request is approved: We will notify you via e-mail, and will submit the override to the Central Processing
System (CPS). Your financial aid will then be packaged based on independent status. PLEASE NOTE: Additional
documents may be required after the CPS has processed the revision to your dependency status. Be sure to check your
Financial Aid tab on MySolano for any additional items.
If your request is not approved: We will notify you via e-mail of our decision. In order to receive a financial aid
package, you will be required to provide parent financial information and parent signature on your FAFSA, using the
FAFSA website (www. FAFSA.gov).
All decisions on dependency overrides are based on Professional Judgement by the Financial Aid Office at
Solano Community College. All decisions are FINAL.
Part 2 of 4: Student Dependency Certification
To be completed by the student:
Student Name: SCC ID#:
Address: Phone #:
Father/Parent 1’s name: Phone #:
Father/Parent 1’s current address:
Mother/Parent 2’s name: Phone #:
Mother/Parent 2’s current address:
When was the last time you lived with your parent(s)?:
Month/Year
DEPO20 Rev. 3/20/19
Student name: SCCID#
When did your parent(s) last provide any form of support?:
Month/Year
When was the last year your parent(s) claimed you as a dependent on their income tax return?
Part 3 of 4: Student Statement
Please provide a detailed explanation of your special circumstances and why you are unable to provide
your parent(s)’ information on the 2019-2020 FAFSA and/or for verification purposes. Attach legal or
medical documents, if necessary, to support your explanation. Attach additional pages if needed.
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I certify that this statement is true and correct to the best of my knowledge.
Signature: _____________________________________ Date: _________________
FINANCIAL AID OFFICE USE ONLY: APPROVED DENIED
Comments:
BY: DATE:
DEPO20 Rev. 3/20/19
Student name: SCCID#
Part 4 of 4: Third Party Verification
STUDENT: Please forward this section to a THIRD PARTY PROFESSIONAL who has
knowledge of you, your parent(s) and your special circumstances. A professional includes, but is not
limited to: a high school counselor/teacher/official, physician, psychiatrist, clergyman, priest, social
worker, etc. NOTE: Friends or family members are NOT considered third party
professionals, and MAY NOT submit on your behalf unless requested by the SCC Financial Aid
Office.
THIRD PARTY PROFESSIONAL: The above-named student has applied for financial aid at
Solano Community College. The student has indicated on the 2019-2020 FAFSA submitted that
he/she is unable to provide parental information due to special circumstances
regarding his or her family and living situation.
Please provide a written, typed statement describing your knowledge of the student’s family
history and relationship with his or her parents. Include the following information on a separate
page (official/business letterhead is preferred).
1.
How long have you known the student?
2.
What is your relationship to the student?
3.
Why do you believe the student is unable to provide parental information on
the FAFSA?
4.
What is the most recent date, to the best of your knowledge, the student lived with or
received support from his or her parent(s)?
5.
Provide your full name and current contact information.
6.
Sign and date your statement.
All information provided will remain confidential and will be used by a college financial aid
administrator to help determine the student’s dependency status for Federal Title IV financial
aid eligibility. Please provide your written statement to the student for submission with his or
her Dependency Status Change Request form.
Sincerely,
Solano Community College
Office of Financial Aid