Fill - Free fillable Dependency Override Policy (Washington State Community College) PDF form

Office of Financial Aid

710 Colegate Drive, Marietta, OH 45750

Phone: 740.568.1908  Fax: 740.376.0257

E-mail: finaid@wscc.edu

Student Name: ___________________________________ WSCC ID: _______________ DOB: _____/_____/________

Dependency Override Policy

Federal Regulations provide the Financial Aid Administrators at Washington State Community College the

opportunity to use professional judgment, on a case-by case basis, to grant a dependency override only when

extraordinary circumstances can be documented for a student. The unusual circumstances must show reason

for a student to be considered independent rather than dependent. The U.S. Department of Education has

specified that the following reasons DO NOT merit a dependency override:

1. Parents refusing to contribute to the student’s education

2. Parents refusing to provide information on the FAFSA or for verification

3. Parents do not claim the student as a dependent for income tax purposes

4. Student demonstrates self-sufficiency

5. Student does not wish to communicate with parents

6. Student will not qualify for financial aid if parents’ income is used

The Office of Financial Aid at Washington State Community College will consider the following guideline for

review for a dependency override:

Irrevocable severances of family ties exist due to extreme circumstances or life threatening

situations. Acceptable situations may include physical abuse or neglect. There must be a complete

lack of contact now with both parents.

Students must reapply each year for a dependency override if your request is approved.

INSTRUCTIONS:

Complete the Dependency Override Form and submit the required documentation to the Office of Financial

Aid at Washington State Community College. The Dependency Override Form can be found on the college’s

website at www.wscc.edu/financial-aid under Forms and Documents or in the Office of Financial Aid. Failure

to provide complete documentation will result in a delay of processing of your request. Please allow two

weeks for the review to be completed.

All decisions concerning a student’s dependency override are final and cannot be appealed to the U.S.

Department of Education.

Dependency Override Form

STEP I: Student Information

Student Name: ____________________________________________ WSCC ID: ___________________

Phone (___________)________________________________ DOB:______/_______/______________

Address_____________________________________________________________________________

STEP II: Reason for Submitting Dependency Override Form

1. Please describe in detail the dates and circumstances that surrounded your severance of parental ties.

Acceptable situations may include physical abuse or neglect. There must be a complete lack of contact now

with both parents. (Attach an additional sheet if necessary).

_____________________________________________________________________________

2. Date of last contact with your parents?_______/________/_________________

3. Please detail where you have been living since you ceased living in your parent’s household. Please include

names and addresses of landlords and amounts of rent.

_____________________________________________________________________________

4. Please detail how you have been able to support yourself. Please list where you have been working and

what you have been your earnings since you ceased living with your parents. Please explain any periods of

non-employment and how you supported yourself.

_____________________________________________________________________________

Dependency Override Form (continued)

5. Have you received other forms of income assistance since you have become self-supporting? Please list

sources and amounts and dates of receipts. If another individual provides support, please list name of

person, relationship and amounts received on your behalf.

_____________________________________________________________________________

6. Are you currently covered under your parents’ health insurance? Yes_____ No_____

7. Are you currently covered under your parents’ auto insurance? Yes_____ No_____

STEP III: Required Documentation (This must be submitted or a review will not be conducted.)

Required Third Party Documentation- Two (2) letters from third party/agency (clergy, attorney, counselor,

mental health professionals, or caseworkers) on their letterhead confirming the specifics of your

circumstances as described by you. This documentation must be in writing, on appropriate letterhead, and

signed. (Note: a person who can only verify that you told him/her about your circumstance does NOT meet

this criterion).

Court documentation or official records supporting your claims.

STEP IV: Certification:

I certify that the information provided on this form and the attached documentation is true and correct to the

best of my knowledge. I realize that purposely giving false or misleading information on this form may result in

a fine, prison sentence or both.

Signature________________________________________ Date____________________

Office Use Only

Date Received:__________________________ Approved? YES_______ No________

FAO Signature:_________________________________________________ Date:_______________________

Fill Online, Printable, Fillable, Blank Dependency Override Policy (Washington State Community College) Form

Related forms

Fillable Dependency Override Policy (Washington State Community College)

Fill Online, Printable, Fillable, Blank Dependency Override Policy (Washington State Community College) Form

Related forms

First 20 documents completely FREE!