*Black Ink Only*
The Cost of Attendance Adjustment form is for students who have additional expenses during the enrollment period,
such as childcare costs, laptop, software, and supplies. Cost of Attendance reviews will take place after you
complete a 2021-2022 FAFSA, and after you receive an initial 2021-2022 award package. Please note: Cost of
Attendance adjustments only increase your loan(s), if eligible. Additional grant funding will not be awarded.
Student Name Student ID Phone Number (include area code)
Childcare Expenses
Please note; this is for childcare expenses only and does not apply to private elementary or secondary school
tuition. Your budget increase is determined off the weekly rate you pay for childcare, during your actual period of
enrollment, with a maximum increase up to $1,500 per semester (one child), $2,000 per semester (two children),
$2,500 per semester (three children), or $3,000 per semester for four children or more.
Required documentation: Attach a letter from your childcare provider indicating the name(s) and age(s) of the
children in childcare, as well as the weekly costs for each child on letterhead. UIW will then determine the
amount to increase your budget by based on the date(s) you are enrolled.
Additional Educational Expenses
Examples: laptop, required software, costs associated with PhD dissertation, publications, etc. Expenses must be
incurred during the 2020-2021 academic year and exceed allowances in the current cost of attendance. The
maximum increase in the student budget will be $1,650 for a laptop, and up to $1,500 for any additional
education expense.
Required documentation: A detailed letter explaining the additional educational expenses along with dated
receipts.
Decline Loan Increase (Optional)
Your loan(s) will be increased to the maximum allowed unless you indicate otherwise below.
No, do not increase my loan(s) at this time.
Signature
I certify the information on this appeal to be complete and accurate, and that I have attached the required
documentation. If any of the information changes, I understand I must promptly notify the UIW Office of
Financial Assistance and that I may be responsible for repayment of financial aid received if I fail to do so.
Student Signature (required) Date
2021-2022
Cost of Attendance Adjustment Request
4301 Broadway, Box 308
San Antonio, TX 78209
Phone: (210) 829-6008
Fax: (210) 283-5053
finaid@uiwtx.edu
www.uiw.edu/finaid
Revised 12/2020
COA02