Fillable 2021-2022 REVISION REQUEST (University of Houston)

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2021-2022 REVISION REQUEST (University of Houston)

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REVRQ myUH ID________________
4434 University Drive, Houston, Texas 77204-2010 · Phone (713)743-1010 · Fax (713)743-9098
Welcome Center hours: Monday-Thursday, 8 a.m.-5 p.m.; Friday, 9 a.m.-5 p.m. · www.uh.edu/finaid
2021-2022 REVISION REQUEST
If you accidentally declined any/all of your aid, do not complete this form. Contact our office at 713.743.1010, option 5, sfa@central.uh.edu
or visit the Welcome Center. If you need to decline all aid for the entire year, log into your myUH self-service account and under Financial
Aid Accept/Decline click “Decline All.”
First Name Last Name
myUH ID
Revision/Reinstatement of Financial Aid
(Reinstatement of aid is based on available funding and all aid
may not be reinstated)
Aid Type
ALL AID
Pell Grant
Work-study
Loans
Other ____________________
Semester
Fall 2021
Spring 2022
Summer 2022
Request Additional Loans
(*If your grade level is changing from
undergraduate to graduate/professional or
to post-baccalaureate, you must make a correction to
your grade level on the FAFSA)
Reason
Grade Level Change
Loan Amount Increase
Grade Level/Loan Type
Freshman
Sophomore
Junior/Senior
Graduate/Professional*
Post-Baccalaureate*
PLUS Loan
Private Loan
(CAL cannot be adjusted with
this form. You must contact THECB to make
any adjustments to your CAL)
Cancellation of Accepted Aid
(If any aid has already disbursed, your account will be
debited for the amount being canceled. If you are graduating
Fall 2021, select this option and Spring 2022 as the semester.
Fall 2021 aid will be reevaluated for maximum amounts.)
Aid Type
ALL AID
Subsidized Loan
Unsubsidized Loan
PLUS Loan
Grants
Work-study
Other ____________________
Semester
Fall 2021
Spring 2022
Summer 2022
Change of Enrollment
(Changes to enrollment may affect your current financial aid
package. Any additional courses must be added to your account
before submitting this form. Pell Grant will be adjusted based on
the number of currently registered courses.)
Semester
Fall 2021
Spring 2022
Summer 2022
Other/Explanation:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________ _______________________________________________
Student Signature Date Parent Signature Date
(black or blue ink, no electronic signatures accepted) (required for parent PLUS loan adjustments)
State law requires that you be informed of the following: (1) with few exceptions, you are entitled on request to be informed about the information the University collects about you by use of this form; (2) under sections 552.021 and
552.023 of the Government Code, you are entitled to receive and review the information; and (3) under section 559.004 of the Government Code, you are entitled to have the University correct information about you that is incorrect.
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2021-2022 REVISION REQUEST (University of Houston)

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Completed 12 November 2021

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