COVID-19 Appeal Form
Name: Student ID:
Last , First MI
Email: Telephone Number: ( ) -
A.
Have you been awarded need-based aid at Marietta College? Y
ES
N
O
B.
Appeal Categories and Supporting Documentation:
2018 Federal Tax Return Transcripts are REQUIRED, unless the IRS Data Retrieval Tool was used, for all Appeals for
Special Circumstance.
Type of appeal (check all that apply)
Documentation to include with appeal
Decrease in student/spouse income
from employment in 2020
due to
COVID-19
•
Statement documenting retirement benefits for 2020.
•
Letter from employer documenting employment status (e.g. full-time to part-time or
termination).
•
Unemployment Benefits statement.
•
Last 3 pay stubs after separation from job.
•
Copies of statements indicating severance pay.
Decrease in parent income from
employment in 2020
due to
COVID-19
•
Statement documenting retirement benefits for 2020.
•
Letter from employer documenting employment status (e.g. full-time to part-time or
termination).
•
Unemployment Benefits statement.
•
Last pay stub after separation from job.
•
Copies of statements indicating severance pay.
Unreimbursed medical or dental
expenses paid, as a result of
COVID-19. Must exceed
11.5% of AGI.
•
Provide a summary of PAID unreimbursed expenses (deductibles, co-pays, after
tax insurance, prescription medications, expenses for durable medical
equipment, and other amounts not covered by insurance) for 2020.
Other reason.. (Please explain)
Page 1
Office of Student Financial Services
2020-2021