Fillable Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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Financial Aid Document Submission Cover Sheet
Please complete the information requested below, submit this form along with your
documents. REMINDER: When uploading your documents to the DropBox, please
exercise caution when using Free WiFi or Public Computers as these are not secure.
CSUDH ID: _____________________________ Today’s Date: _______________
Student Name: ________________________________________________________
Enter Last Name, First Name, MI
1. Upon completing this document, scroll to the bottom where you are asked to
sign and date. In the signature area, type your name and in the date space type
today’s date.
2. Save your document. Name your document with your Initials and CSUDH ID #
3. If you have attachments, please have them ready to upload to the DropBox
4. Return to the Financial Aid Forms section to the “Submit My Documents link”
5. Once all documents have been submitted, be sure to close your browser.
FINANCIAL AID OFFICE
1000 East Victoria Street, WHB250
Carson, California 90747
PHONE: (310) 243-3691
Be sure to include your CSUDH student ID number on the front and back of each
page submitted and allow 24-48 hours for your To Do List to be updated.
Submission Instructions
In the following page(s), complete all requested information using the fillable
document below. Your document must be complete to be accepted by the Financial
Aid Office. Forms that are incomplete will remain on your To-Do list in the Student
Center.
Toro Email Address: ____________________________________
Phone Number: ______ ________________________________
(Area Code) (i.e. 222-1234)
For Office Use Only
FINANCIAL AID OFFICE
1000 East Victoria Street, WHB250
Carson, California 90747
PHONE: (310) 243-3691
finaid@csudh.edu
www.csudh.edu/financial-aid
2020-2021 Financial Aid Adjustment Request
Instructions: To adjust your financial aid offer, complete and submit this form to the CSUDH Financial Aid Office.
SECTION A: Offer revision due to enrollment change
Check the appropriate box to have your current financial aid offer revised to accurately reflect your enrollment status/plans.
Fall 2020 Spring 2021 Academic year (Fall 2020 and Spring 2021)
Spring 2021 Academ
ic year (Fall 2020 and Spring 2021)
Cancel my financial aid offer for:
Reinstate my financial aid offer for: Fall 2020
Change of graduation date: I would like to extend my financial aid to the spring 2021 semester.
o Note: Due to limited funding, some grant awards may not be offered.
New career/degree objective in Spring 2021: Adjust my financial aid to reflect the new career/degree program in Spring semester.
o Example: Completed bachelor’s degree Fall 2020 and will be working on teaching credential Spring 2021.
SECTION B: Adjustment to student loan offer
To cancel all or a portion of your Federal Direct Loan, you must notify the Financial Aid Office within 14 days of the date your funds were
credited to your student account. If it has been longer than 14 days, your request may not be processed and you may be referred to your
federal loan servicer to arrange repayment on all or a portion of your loan. Requests to increase or reinstate a loan will be accepted on your
behalf.
The deadline to submit this form is the last day of classes (Fall 2020 only loans: December 4, 2020; Spring 2021 attendees: May 14, 2021).
Note: Increased
loans will be evenly posted for the Fall 2020 and Spring 2021 semesters. You must be enrolled at least half time (6 units
undergraduate/credential and 4 units of 500 level courses for Graduate) each semester. A loan processing fee is deducted from each loan
disbursement you receive.
Indicate which student loan you would like to adjust and the New Total for the Academic Year.
Check all that apply
Action
(Accept, Increase, Reduce, or Cancel
New Total for Academic Year
2020-2021
Fall 2020 Spring 2021
Example
Increase
$ 2000 $ 1000 $ 1000
Direct Loan Subsidized
$
$
$
Direct Loan Unsubsidized
$ $ $
Direct Loan Grad PLUS
$ $ $
Private student loan
$ $ $
Student Acknowledgement: I understand and acknowledge that decreasing or cancelling a previously disbursed loan/grant may cause a
balance on my CSUDH student account and that I am responsible to pay the balance in a timely manner. I also understand and acknowledge
that I am required to complete: Master Promissory Note and Loan Entrance Counseling, if I am a first-time Direct Loan borrower and have
not already completed these requirements.
Signature: ________
___________________________________________________ Date: _______________________________
Dependency: Dependent Independent
Packaging Variables: Special Program F21AAR Comment
FA TERM: Fall Spring F14 Sent
Budget: Fall Spring Processed By: ____________
Units: Fall_____ Spring Processed Date: ___________
Student’s Name: _____________________________________ CSUDH ID#__________________
F21ADJ
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Financial Aid Document Submission Cover Sheet (California State University, Dominguez Hills)

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Completed 9 December 2020

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