2020-2021 COVID-19 or Natural
Disaster Circumstance Request
Form
Monroe Campus Phone 318-345-9005
___________________________________________________________________________
2020-2021
COVID-19 or Natural Disaster Special Circumstance Request Form
_
Student Name Student ID
D.O.B _______________________________________________ Email _________________________________
Ensure that Sections 1 and 2, are complete and that all of the required supporting documentation is attached and
submit it through our Financial Aid Document Upload Portal
or return this form in person, via mail, or fax at your
earliest convenience.
Purpose
The 2020-21 FAFSA takes into account 2018 tax year income. If your family’s current financial situation has been
drastically affected by the COVID-19 Pandemic or a Natural Disaster (ex: tornado, etc.), you may wish to consider
submitting this form. Upon review, the Financial Aid Office may deem it appropriate for your FAFSA information
to be adjusted to be more equitable and representative of your current financial situation.
Instructions
Complete sections 1 through 3 and ALL required steps below.
1.
SPECIAL CUMSTANCE(S)
Indicate the appropriate reason(s) and the date(s) of your family's change in circumstance by checking the box(s)
below. You will need to attach the required supporting documentation indicated below the applicable
circumstance(s).
Loss of employment or change in employment due to COVID-19
• Letter from employer on company letterhead that includes the last date of employment.
Month/Day/Year
• Unemployment benefits determination document.
• Documentation of year-to-date income.
Temporary reduction in income due to COVID-19
• Letter from employer on company letterhead that includes the last date of employment.
Month/Day/Year
• Unemployment benefits determination document.
• Documentation of year-to-date income
Loss of 2020 earnings due to disability or natural disaster (ex: tornado, hurricane, etc.)
• Documentation of disability determination.
Month/Day/Year
• Documentation of natural disaster.
• Documentation of year-to-date income (copies of most recent pay stubs from all employers).
• Documentation of year-to-date income