Student’s Last Name Student’s First Name Student’s M.I. Student’s HCC ID Number
2017/2018 Professional Judgment Appeal
Students may experience circumstances that require us to base their nancial aid on current
income, rather than the 2015 income used on the 2017/2018 FAFSA. This is usually due to one of
the events listed below. If you have extenuating circumstances not addressed on your 2017-2018
FAFSA, you must rst meet with a nancial aid counselor and then complete this form.
Step 1 Complete Verication
Before proceeding with the Professional Judgment, you must complete 2017/2018 verication (if not already completed).
Log on to Self Service in myHCC to view the required documents. Once 2017-2018 verication is complete, proceed to Step 2.
Step 2 Describe Your Circumstance
Check the box below that describes your circumstance, and attach the required documentation.
□ Death of parents or spouse after ling the 2017/2018 FAFSA.
1. Enter the date of death:
2. Attach a copy of the death certicate.
□ Separation or divorce of parent or spouse after ling the 2017/2018 FAFSA.
1. Enter date of marital separation:
2. Attach a copy of legal separation agreement or a signed letter from attorney on legal rm’s letterhead, stating
when legal proceedings began.
□ Unemployment/reduction of income: student, parent, or spouse (if married) will experience an overall income reduction
of at least 20% after January 1, 2017.
1. Termination letter(s),
2. Last 3 pay stub(s)
3. All unemployment benets received. (Ex. Copy of severance/ benets/unemployment compensation eligibility.)
4. Estimated Income worksheet (available through Self Service on myHCC)
□ Loss or reduction of untaxed income after January 1, 2017. (ex. IRA conversion, loss of child support, etc.)
1. Enter date of change:
2. Attach supporting documentation. (Ex. Ocial documentation of termination of benets/support)
□ Unusual medical and dental expenses (Ex. Expenses paid in 2017, not covered by health/dental insurance.)
1. Attach supporting documentation. (Ex. Proof of payment, receipts).
□ Student dependency status change due to marriage after ling the 2016-2017 FAFSA.
1. Enter date of marriage:
2. Attach marriage certicate.
□ Parents of dependent students are also attending college.
Parent’s Name: College/Program of Study: Attending College at Least ½ Time?
□ Yes □ No
□ Ye s □ No
□ Other:
Step 3 On the next page, type a brief explanation of your situation.
Be sure to list specic dates.
