EFSC Office of Financial Aid
www.easternflorida.edu/go/aid | (321) 433-7339 | finaid@easternflorida.edu
1 07/11/19
CNCL
FA Eligibility
2019-2020 Aid Cancellation Request
This form can only be used if your financial aid for the term has not yet disbursed.
If aid has disbursed, please contact the Office of Financial Aid.
A. Student Information
B#
Last Name First Name M.I. Student ID
B. Aid Cancellation Request
I certify that I will not be attending EFSC in the following semester(s) and wish to cancel ALL AID for the semester:
Fall 2019 Spring 2020 Summer 2020
This is a formal request to cancel federal, state and institutional aid at Eastern Florida State College due to a change
in enrollment plans. I understand all pending aid will be cancelled and the cancellation reported to the appropriate
state and federal departments.
C. Work-Study Cancellation Request
Please cancel Accepted Work-Study
If you wish to adjust you Federal Direct Loans, please complete the 2019-20 Loan Change Form.
D. Certification and Signature
By signing below I certify that all of the information reported is complete and correct.
Student’s Signature Date
EFSC Office of Financial Aid
www.easternflorida.edu/go/aid | (321) 433-7339 | finaid@easternflorida.edu
2
E. Document Submission
You may submit this document by the following methods:
1. EFSC DOCUMENT DROPBOX (RECOMMENDED)
Print and complete this document (including the original signature), scan the document, and upload the
document via the Document Dropbox in myEFSC. Printers and scanners are available in EFSC’s open
computer labs and libraries.
2. IN PERSON
Submit your document in person at the Office of Financial Aid on any campus:
Cocoa
Building 11, Room 209
Monday through Thursday, 8 a.m. to 7 p.m.
Palm Bay
Building 1, Room 117
Monday through Thursday, 8 a.m. to 7 p.m.
Melbourne
Building 1, Room 137
Monday through Thursday, 8 a.m. to 7 p.m.
Titusville
Building 3, Room 125
Monday through Wednesday, 8 a.m. to 5:30 p.m.
Thursday, 8 a.m. to 7 p.m.
3. BY MAIL
Mail your document to the Office of Financial Aid on any campus:
Cocoa
Eastern Florida State College
Office of Financial Aid, C11-209
1519 Clearlake Road
Cocoa, FL 32922
Palm Bay
Eastern Florida State College
Office of Financial Aid, PB1-117
250 Community College Parkway
Palm Bay, FL 32909
Melbourne
Eastern Florida State College
Office of Financial Aid, M1-137
3865 N. Wickham Road
Melbourne, FL 32935
Titusville
Eastern Florida State College
Office of Financial Aid, T3-125
1311 N. US 1
Titusville, FL 32976
QUESTIONS?
Financial Aid Specialists are available at the campus locations listed above, by phone at 321-433-7339, and via e-mail at
finaid@easternflorida.edu.
Eastern Florida State College is committed to equal access/equal opportunity in its programs, activities, and employment.
For additional information, visit Eastern Florida State College: easternflorida.edu/go/equity.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome