____________________________________________ _______________________________
Student’s Name: ____________________________ CSUDH ID#________________________
21FBIR
FINANCIAL AID OFFICE
1000 East Victoria Street, WHB250
Carson, California 90747
PHONE: (310) 243-3691
finaid@csudh.edu
2020-2021 Budget Increase Request Form
In some cases, additional expenses you incur during an academic year may be considered in determining the amount
of your financial aid eligibility. The Financial Aid Office will evaluate your expenses upon receipt of this form and
the documentation listed below. Failure to submit supporting documentation will result in your request being denied.
Documentation must be dated within the 2020-2021 school year (August 24, 2020 – May 21, 2021).
Purpose of Budget Increase Request:
Scholarship/Stipend received.
Athletic Grant-in-aid received.
Increase Direct Loan. Complete and attach 2020-2021 Financial Aid Adjustment Request.
Other – attached letter of explanation required.
Change to Housing Plan
Off campus housing
Signed statement explaining expense, and
Signed copy of lease or rental agreement
Off-Campus Rent
Do not submit if your rent is equal to or
less than $1,273/month
Signed statement explaining expense, and
Signed copy of lease or rental agreement
Major Automobile Repairs
Do not include general maintenance.
Signed statement explaining expense, and
Copy of bill/invoice in your name and date of service
Signed statement explaining expense, and
Signed letter from care provider indicating details of child care
arrangement, contact information, and cost
Other Educational Related Expenses
Signed statement explaining expense, and
Copy of supporting documentation
My signature below certifies that this information is true and authorizes verification of this information by the
Financial Aid Office at any time. I further understand that if the above costs are not incurred, increased financial aid
offers based on the cost are subject to cancellation, including any disbursed funds.
Student Signature (Required) Date
Financial Aid Office Use Only
21FBIR Checklist Date: ____________ Status: Approved Denied Pending
Budget Increased: Fall / Spring Checklist: 21FBIA 21FBID 21FBIP
Fed COA = Pell COA: _____________ Comment: 21FBIA 21FBID 21FBIP
Award adjusted: __________________ Communication (F14) Date: ____________
Completed By: ________________________ Date Completed: _____________________
