Re-evaluation of Financial Aid Form
Student Name: ____________________________________________
Last First M
RMC ID#: __________________
Office of Financial Aid
P. O. Box 5005, 114 College Avenue
Ashland, VA 23005
FAX: (804) 752-3719
Email: financialaiddocs@rmc.edu
Randolph-Macon College is committed to providing need-based assistance to qualifying students. The Financial
Aid office recognizes that some families experience changes that are not reflected on the Free Application for
Federal Student Aid (FAFSA). Please note that no request for a re-evaluation will be considered without
a FAFSA and that submission of this form does not guarantee any adjustment to a student’s aid package.
Complete Sections 1-4 and be sure to submit the requested documentation.
SECTION 1: Please check the appropriate box(es) concerning your reason(s) for requesting a re-evaluation of
assistance:
Your parent(s) or your earned income
in 2020 or 2021 will be significantly
less than in 2019 as reported on the
FAFSA.
▪
▪
Copy of last pay stub showing
year-to-date earnings.
Termination/layoff notice from
employer, severance package,
and a benefit notice from the
employment office.
❑ Loss of Taxable/Untaxed
Income such as alimony,
business and farm income,
capital gains, child support,
pensions, annuities, social
security, worker’s compensation
and/or other.
Your parent(s) or you received
benefits in 2019 which have ceased
or been reduced in 2020 or in 2021.
▪
▪
Documentation from agency
stating total amount received in
2019 with termination date.
Documentation of updated 2020
or 2021 income amount.
Your parents or you have separated
or divorced AFTER submitting the
FAFSA.
▪ A copy of the divorce decree or
separation agreement or proof of
separate residences.
❑ Death of Parent or Spouse
A parent or spouse has died AFTER
submitting the FAFSA.
▪ Copy of death certificate or
obituary.
❑ Other Financial
Difficulty/Unusual Expense
such as funeral expenses,
unreimbursed medical expenses,
etc.
▪
▪
Complete Section 2 and 4.
Submit supporting
documentation, if possible.
SECTION 2: Explanation of circumstances in detail: (Attach additional paper/statement, as needed)
