2019-2020 EXPENSE FORM
STUDENT NAME
BRANDMAN ID NUMBER
The 2019-2020 FAFSA requires 2017 income to be reported. Please provide information regarding your
household expenses for 2017 and how you met those expenses. If you are dependent, please have your parents
provide the information.
FAMILY EXPENSES 2017 ANNUAL TOTAL AMOUNT
Housing (rent or mortgage payment)
Food
Transportation (car payments, gas, maintenance)
Utilities (mobile phone, gas, phone, electric)
Insurance (Home/Renters, Auto)
Clothing
Medical and dental
Child Care
Please explain how the above expenses were met. If someone paid these expenses on your (or your parent’s if
dependent) behalf or provided you with assistance such as housing, please explain below:
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CERTIFICATION: All of the information on this form is true and complete to the best of my knowledge. If asked by
the Financial Aid Office, I agree to provide documentation of the information that I have given on this form. I also
realize that purposely giving false or misleading information on this form may result in reduced eligibility and/or
repayment of aid.
STUDENT SIGNATURE DATE
PARENT SIGNATURE IF DEPENDENT DATE
Submit Completed Form via the Student Portal
OR Fax: 866-659-1147 Mail: Brandman University, Financial Aid Office, Third Floor 16355 Laguna Canyon Rd, Irvine, CA 92618
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