Anoka-Ramsey Community College and Anoka Technical College are affirmative action, equal opportunity educator/employers. To receive this information in an alternative format, 763-433-1350. Rev. 10/18
Financial Aid Office
1355 West Highway 10, Anoka, MN 55303
Phone: 763.576.7730 Fax: 763.576.7721
finaid@anokatech.edu
2019-2020 Petition for Dependency Status Override
Name ________________________________________ Stu.ID _______________________
I am petitioning the Financial Aid Office to change my status from dependent to independent and waive parent information.
By FEDERAL LAW the following conditions are NOT ACCEPTABLE for consideration for a Dependency Status Override:
1. Parents are unwilling to provide information on the FAFSA or provide documentation for verification information.
2. Parents refuse to contribute to child’s education.
3. Student demonstrates self-sufficiency and/or is living on one’s own.
THE STUDENT MUST COMPLETE AND SUBMIT this signed document, along with the Requested Documentation as detailed below:
Your custodial parent has died and the other natural parent is still living. You however, have neither had contact with nor
received any financial support from the living parent for a significant period of time.
Requested Documentation:
• Letter from you explaining the estrangement situation with your parents in detail.
• A copy of the death certificate for the deceased custodial parent.
• A letter or statement from an objective third party (legal counsel, counselor, clergy) which supports your claim that you have neither
lived with nor received financial support from the non-custodial parent for a significant period of time.
Your family situation is unsafe. This is the result of physical abuse, emotional abuse, or substance abuse.
Requested Documentation:
• Letter from you explaining the unusual circumstance or situation in detail.
• Two letters (on official letterhead) explaining the situation in detail from separate objective third-party individuals such as a minister,
social worker, psychologist, high school counselor, teacher, doctor, lawyer, or another counseling profession.
You were previously married and now are divorced/widowed.
Requested Documentation:
• Letter explaining why you believe you should be considered independent.
• Copy of divorce decree or death certificate.
• Must show self-sufficiency (income, bills, etc.).
***I certify that all of the information stated in the letters attached concerning my request for a status change from dependent to independent is true and complete.***
__________________________________________ ____________________
Student Signature Date
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OFFICE USE ONLY
Approved __________________________________________________________________________________________________________
Pending/Denied _____________________________________________________________________________________________________
__________________________________________ ____________________
Financial Aid Administrator Date
