University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Ph
one 660-543-8266
FAX 660-543-8080
Webpage: www.ucmo.edu/sfs
Dependency Override Appeal:
Application
2018/2019 Award Year
Dep_OR_Appeal_App_18.pdf
NOV 3, 2017
FRCD1
_______
__________________________________________________
700 _______________________
Student's Name (please print) UCM ID Number
1. Submit your signed letter of appeal to the UCM Office of Student Financial Services. In your appeal you must
provide convincing justification that you are truly independent of your parent(s) in accordance with at least
one of the conditions cited on our Dependency Override Policies page. See the link below for policies:
https://www.ucmo.edu/sfs/policies.cfm
You must also explain the following circumstances in your appeal:
a. Wh
y your parent(s) are not providing (or will not provide) any financial support for you.
b. Why you’re unable to obtain income and asset data from your parent(s) to complete your 2018/2019
FAFSA.
c. Your living arrangements, particularly how often (summers, weekends, etc.) you reside with your parents.
d. Your personal relationship with your parent(s): how often you visit them, contact them, etc.
e. What kinds and amounts of financial support your parent(s) provide to you (money, food and housing,
payment of your bills, purchase of a vehicle, insurance payments, medical insurance, etc.)
f. What kinds and amounts of financial support you receive from other family members, friends, or relatives.
2. Le
tters of support must also be submitted from at least two other adults (only one of which may be a family
member or relative) who know of your circumstances and can attest to the validity of your written appeal.
Ou
t of these two supporting letters, at least one of them must be written by a professional on official
letterhead stationery. Examples of such individuals include, but are not limited to, your high school guidance
counselor, religious leader, Family Services officer, court representative, or social worker.
I c
ertify that the information included with my dependency override appeal is true and accurate to the best of
my knowledge.
_______
__________________________________________________ _________________________________
Student’s Signature Date
* Su
bmit both pages of this form and all supporting documents to the UCM Office of Student Financial Services.
Office of Student Financial Services
University of Central Missouri
P.O. Box 800
Warrensburg, MO 64093-5178
1100 Ward Edwards Bldg.
Fa
x:
Be sure to read, complete, and submit page 2 of this application.
