Instructions: fill out form, choose ‘print’ icon then ‘save as pdf’ and email form from your device to financialaid@rpcc.edu
2020-2021 Special Circumstance Request Form
Student’s Name: _______________________________________ Student ID #: _____________________________
Mailing Address: ___________________________________________ Telephone Number: ___________________
Email Address: _________________________________________________________________________________
Complete this form, if you or your family have unusual circumstances that may affect your ability to contribute to your
2020-2021 educational expenses. Special circumstances that may be considered are separation/divorce, death, change
or loss of employment income, unusually high medical expenses, or loss of benefits, etc. Submit this completed form
with the required documentation listed below to your campus aid office.
**Verification of your FAFSA information must be completed first before adjustments can be made. Regularly check
your LoLA account for requirements to see what documents are needed.
Required Steps for Special Circumstance Request: (incomplete request will not be accepted)
1. Complete your 2020-2021 FAFSA and have it sent to the
Financial Aid Office.
● www.fafsa.gov
● Federal Processor will send us your FAFSA results
2. Attach a Signed Letter specifying your unusual
Circumstances
● Include date(s) situation occurred
● Specify all employers where job loss occurred
● List ALL 2019 or 2020 employers for student, spouse, & parents
3. Complete the 2020-2021 Household Size/College Verification
form
● www.school website.edu under Financial Aid Forms
4. Provide copies of 2018 and 2019 W-2 Forms AND/OR 2018
and 2019 1099 Forms
● For independent student (and student’s spouse, if married); or
● For dependent student and student’s parent(s)
● 2018 and 2019 W-2 wages must match IRS transcript wages for both years,
● If W-2 is not available, send 2018 and 2019 IRS Wage & Income Transcript
available at: www.irs.gov/transcript
5. Provide 2018 and 2019 Income Tax Records
● For 2018 and 2019 Tax Filers (send Tax Return Transcript for each person)
▶ Independent student (and spouse if student is married) or
▶ Dependent student and parent (parent & current spouse, or
both parents if unmarried & living together)
▶ Request at www.irs.gov/transcript, or 1-800-908-9946
● For 2018 and 2019 Non-tax Filers (complete the 2020-2021 Verification form
for each person who did not file a tax return)
▶ Student section (student and student spouse, if married)
▶ Parent section (parent and parent spouse, if married)
▶ www.school website.edu under Financial Aid Forms
6. Complete Special Circumstance Request Form
● Complete ALL applicable sections and questions of this form, and sign the
certification statement at the end:
▶ Independent student and spouse (if student is married)
▶ Dependent student and parent
7. Documentation required, specific to your situation
● Required documents listed under “Reason for Special Circumstance Request”
Office of Financial Aid & Scholarships
Gonzales-Westside-Reserve Campuses
Financialaid@rpcc.edu
