Lorain County Community College Financial Services 1005 N. Abbe Rd, Elyria, OH 44035 Phone: 440-366-4034
FAFSA Issue Form
2020-21 Financial Aid Year
Use this form when:
You and/or your parent are unable to sign your FAFSA electronically with an FSA ID.
You need to change data on your FAFSA (ie. Number in the college, etc.).
Section 1. Student Information
Last Name First Name Middle Initial
LCCC Student ID #
Section 2: Supporting Documentation
All submissions of this form must be accompanied by a copy of your Student Aid Report (SAR). You can print your SAR from your FAFSA
submission confirmation email or log into your FAFSA and print it from www.fafsa.gov.
If you are making corrections to your FAFSA, mark the attached SAR with the correct data and initial.
Section 3: Certification
Each person signing this form certifies that all of the information reported is complete and accurate. Warning: If you purposely give false or
misleading information on this form, you may be fined, sentenced to jail, or both. Electronic signatures will not be accepted. Please print this form
to sign prior to submitting.
Student signature: Date:
Parent signature: Date:
The parent who signs above must be reported on the FAFSA.
Section 4: Submission
Do not submit this form until you have gathered all other required documents/forms to avoid delays in processing. When all required documents
have been gathered, you may submit your information by: a) mail to the address below; b) fax to 440-366-4634 or; c) deliver to Financial Services,
First Floor, Bass Library. Watch for two-sided documents. Be sure to include both sides when faxing. Do not email any documents with
personally identifiable information.
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