APPEAL REQUEST FOR MODIFIED INDEPENDENT STATUS
Rev. 2019/07/29 Page 2 of 2
You must submit all of the following documentation to your StudentAid BC Dashboard
to support your appeal request:
A statement from you describing the family rift, how long the rift has existed and why it continues.
A letter from a responsible third party testifying as to the truthfulness of your explanation and providing an independent
assessment of the situation. The third party could be any of the following: counsellor, psychologist, religious advisor, doctor,
teacher, and/or mature relative outside the immediate family or family friend. The status of the third party and their relationship
to you must be identified in the letter.
A letter from your parent(s)/step-parent/sponsor/legal guardian describing the family rift, how long the rift has existed and why
it continues. If a parental letter cannot be obtained, a second letter from another professional third party must be submitted.
A letter from the appropriate provincial or territorial agency confirming that you were a youth under the guardianship of, or in a
Youth Agreement with, the agency on your 19th birthday (if relevant to your appeal circumstance).
YOUR ASSESSMENT WILL BE DELAYED OR DENIED IF YOU DO NOT SUBMIT ALL REQUIRED DOCUMENTATION.
By submitting this request for an appeal, I understand that:
• All terms agreed to on my application will remain in force.
• StudentAid BC may consider information from prior applications in my appeal request.
I certify that information provided with this request is accurate and correct.
Collection and use of information: The information included in this form and authorized above is collected under Sections 26(c) and 26(e) of the Freedom of Information and
Protection of Privacy Act, and under the authority of the Canada Student Financial Assistance Act, R.S.C. 1994, Chapter C-28 and StudentAid BC. The information provided will
be used to determine eligibility for a benefit through StudentAid BC and for statistical and evaluation purposes. If you have any questions about the collection and use of this
information, contact the Director, StudentAid BC, Ministry of Advanced Education, Skills & Training, PO Box 9173, Stn Prov Govt, Victoria B.C., V8W 9H7, telephone 1-800-
561-1818 (toll-free in Canada/U.S.) or (250)-387-6100 from outside North America.
Upload completed Appeal Request Form and all required documentation to your
StudentAid BC Dashboard at studentaidbc.ca/dashboard
.
STUDENT’S SOCIAL INSURANCE NUMBER STUDENT’S APPLICATION NUMBER
STUDENT’S FIRST NAME MIDDLE INITIAL
SECTION 2 – REQUIRED DOCUMENTATION
SECTION 1 – STUDENT INFORMATION
