Revised: 12/01/2019 BUDADJ
Financial Aid Office SUNY Plattsburgh 101 Broad Street Plattsburgh, NY 12901-2681
Tel: (518) 564-2072 Toll-Free: (877) 768-5976 Fax: (518) 564-4079 email: finaid@plattsburgh.edu
BUDGET ADJUSTMENT REQUEST FOR 2021-22
Student Name: ___________________________ Banner ID or NetID: ____________________________
The maximum amount of financial aid that students are eligible for in an academic year is called the cost of
attendanceorbudget”. This budget is composed of different expense items and amounts: tuition, mandatory
fees, room rent, meals, books and supplies, transportation, and personal expenses. The budgeted amount
used for each expense item are estimates and standardized across student cohorts.
If your actual expenses exceed the budgeted amount for a specific item, use this form to request an
increase in your budget. Respond to all four questions and ensure you attached the required documentation.
An approved budget adjustment may result in your ability to borrow more federal loans or more private loans,
but this depends upon your financial aid package and eligibility at the time of this request.
1. In t
he table below, write the amount of your actual expenses for a budget item. If your actual expenses
exceed the budgeted amount, attach the required documentation and complete the next section.
Items
Description
Budgeted
Amount
Your
Actual Expenses
Attach Required
Documentation
Room Rent
Cost of rent and utilities:
heat and electricity
$4,721 per term
$
Copy of lease, rent receipt,
and utility bills
Meals
Cost of meals
$2,672 per term
$
Copy of receipts from
grocery store, etc.
Books &
Supplies
Expenses for all books
and supplies
$660 per term
$
Copy of receipts from
bookstores or websites
Transportation
Two round trips home
each semester
$325 per term
$
Receipts and travel distances
Transportation
Commuter
30 miles round trip per
day * 5 days per week *
30 weeks * $.575 per mile
$1,294 per term
$
Travel distances and course
schedule
Personal
IRS standards for
toiletries etc.
$1,050 per term
$
Copies of receipts
Computer
One-time request to
purchase a computer
$0 per term
$
(not to exceed $750)
Copies of invoice or receipt
Health
Non-cosmetic medical,
dental, or eye expenses
not covered by insurance
$0 per term
$
Copy of bills, receipts,
insurance claims
Dependent
Care
Expenses for childcare or
other dependent care
$0 per term
$
Names & ages of
dependents, contact
information for provider,
copies of receipts or bills
Other
Educational
Allowable expenses not
covered by budget
$0 per term
$
Letter outlining costs and
copies of receipts or bills
Financial Aid Office SUNY Plattsburgh 101 Broad Street Plattsburgh, NY 12901-2681
Tel: (518) 564-2072 Toll-Free: (877) 768-5976 Fax: (518) 564-4079 email: finaid@plattsburgh.edu
Revised: 12/01/2019 BUDADJ
Student Name: ___________________________ Banner ID or NetID: ____________________________
2. Check
the semesters and budget items that you are requesting a budget adjustment for:
Semesters
Budget Items
All year (fall & spring)
Room Rent
Fall semester only
Meals
Health
Spring semester only
Books and Supplies
Dependent Care
Summer semester only
Transportation
Other Educational
Personal
3. In t
he space provided below, describe how your actual expenses exceed the budgeted amounts for each
item that you are requesting a budget adjustment. Describe the documentation that you have attached that
supports this request. Failure to provide a thorough description and required documentation will delay the
evaluation of your request.
4. To req
uest a loan increase, check the loan type, write in the amount to increase, and check the semester.
The maximum amount of loan increase that you may request depends upon your remaining loan eligibility
at the time of this request. Consult with the Financial Aid Office if you need assistance.
Loan Type
Amount to Increase
Semester
Federal Subsidized
$
All year (fall & spring)
Federal Unsubsidized
$
Fall semester only
Other: _________________
$
Spring semester only
Summer semester only
* 1.057% of your subsidized and unsubsidized loan amount will be retained by the lender in fees.
** 4.228% of your Parent PLUS Loan will be retained by the lender in fees.
SIGNATURE
Student Ink Signature Date