Fillable Financial Aid Request for At Home Child Care (University of North Texas Health Science Center)

Fill Online, Printable, Fillable, Blank Financial Aid Request for At Home Child Care (University of North Texas Health Science Center) Form

Use Fill to complete blank online UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Financial Aid Request for At Home Child Care (University of North Texas Health Science Center)

On average this form takes 7 minutes to complete

The Financial Aid Request for At Home Child Care (University of North Texas Health Science Center) form is 1 page long and contains:

  • 2 signatures
  • 3 check-boxes
  • 17 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of North Texas Health Science Center

BROWSE UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Financial Aid Request for At Home Child Care Allowance
2020-2021
You are requesting an adjustment to your cost of attendance. This adjustment is based upon your spouse being
unable to work in order to provide care for your child/children within your custody. If approved, the standard
allowance will be $700 per month regardless of the number of children in the household.
You must be able to demonstrate that your family would suffer a financial hardship if your spouse worked and
had to pay for child care. Please provide the information requested below.
Name: _________________________________________ Student ID#: ______________________
Indicate the term(s) YOU WILL BE ENROLLED when your spouse will be staying home to provide child
care.
Summer 2020 Fall 2020 Spring 2021
Please list YOUR dependents that your spouse will be caring for during the 2020-2021 aid year.
The dependents must have been included in your household size on your 2020-2021 FAFSA.
Child’s Full Name
Age
Child’s Full Name
Age
Children should be 12 years of age or under unless there is an extenuating circumstance.
Explanation of financial hardship if spouse worked outside of the home. Please include estimated cost of child
care if your spouse were to work outside the home.
All information provided is true and complete to the best of my knowledge. If requested by an authorized
official, I agree to provide additional documentation necessary to verify my request. I certify that I have read and
understand the requirements above.
Student’s signature Date
Spouse’s signature Date
SECTION A: STUDENT INFORMATION
SECTION B: ANTICIPATED ATTENDANCE
SECTION C: DEPENDENT INFORMATION
SECTION D: CERTIFICATION
Submit Completed Form
Print Completed Form
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Financial Aid Request for At Home Child Care (University of North Texas Health Science Center)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document