If your family has paid private elementary or secondary school tuition for a younger child (not the student who is applying for
aid), please upload this form to (with required documentation) to IDOC so we may review these costs when determining
financial aid eligibility.
Please provide documentation for payments made in the 2019-2020 academic year (July 1, 2019 - June 30, 2020), including (but
not limited to) copies of cashed checks made to the school, a school tuition contract showing payment responsibility or a letter
from the school verifying payments made. Documentation must show the amount paid/expected to pay, the date of payment(s),
and the name of the student attending the school. Please highlight all payments on corresponding documentation. Items
submitted are subject to approval by the Financial Aid Office.
Student's Name: _________________________________________ Amount Paid in 19-20 $_________________________________
School Name: ___________________________________________ School Phone Number: ________________________________
School Address: _______________________________________________________________________________________________
Student's Name: _________________________________________ Amount Paid in 19-20 $_________________________________
School Name: ___________________________________________ School Phone Number: ________________________________
School Address: _______________________________________________________________________________________________
Student's Name: ________________________________________Amount Paid in 19-20 $_________________________________
School Name:___________________________________________ School Phone Number: ________________________________
School Address: _______________________________________________________________________________________________
Student's Name: _________________________________________ Amount Paid in 19-20 $_________________________________
School Name: ___________________________________________ School Phone Number: ________________________________
School Address: _______________________________________________________________________________________________
Student's Name: _________________________________________ Amount Paid in 19-20 $_________________________________
School Name:___________________________________________School Phone Number: ________________________________
School Address: _______________________________________________________________________________________________
I certify that all information r
eported on this form and any attachments and subsequent information provided to the
Occidental College Financial Aid Office is true, complete, and accurate to the best of my knowledge. I understand that false
statements or misrepresentations will be cause for denial, reduction, withdrawal, and/or repayment of financial aid.
By signing this form I also allo
w the Occidental College Financial Aid Office to contact my child’s school in order to verify this
information.
Parent Signature (no electronic signatures) Print Name Date
ELEMENTARY/SECONDARY TUITION PAYMENTS (2019-2020 school year)
STUDENT’S NAME:
OXY ID:
(NEW STUDENTS LEAVE BLANK)
ELEMENTARY/SECONDARY TUITION
EXPENSE SHEET
2020-2021
Occidental College
Financial Aid Office
1600 Campus Road F-35
Los Angeles, CA 90041
Phone: 323-259-2548
Fax: 323-341-4961
finaid@oxy.edu
www.oxy.edu/financial-aid
