2019-20 Appeal for Dependency Override
Student Name: UH ID #
Phone Number: Date of Birth:
Federal regulations (Public Law 102-325, Sec. 480 (d)) require that the Financial Aid Office consider parent information and expect
parent contribution for students unless the student meets one of the following conditions:
1. is 24 years or older by December 31 of the award year (born before January 1, 1996); or
2. is a graduate or professional student; or
3. is married; or
4. have children who receive more than half of their support from you; or
5. have legal dependents (other than children or spouse) who receive more than half of their support from you now and through
next year; or
6. is an orphan or ward of the court; or
7. is currently serving on active duty in the U.S. Armed Forces for purposes other than training; or
8. is a veteran of the U.S Armed Forces; or
9. is an emancipated minor; or
10. is in legal guardianship; or
11. is an unaccompanied youth who was homeless as determined by:
a. your high school or school district homeless liaison,
b. the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and
Urban Development, or
c. the director of a runaway or homeless youth basic center or transitional living program.
The parent’s unwillingness (versus inability) or refusal to assist the student cannot be grounds for a dependency override. The Financial
Aid Office may be able to override your dependent status only if unusual circumstances exist that makes it impossible for you to have
reasonable contact with your parents. If your family situation involves an unusual circumstance, you may request a review of your
dependency status by submitting:
1. A personal statement describing the relationship between you and your parents and the specific reasons you are unable to
secure their cooperation in completing the parent information section of the Free Application for Federal Student Aid (FAFSA).
2. At least one statement on official letterhead paper from an external (third party) source who can document, verify and
support your situation (e.g. social workers, counselors, clergy members, or teacher).
I certify that the information provided is true and correct to the best of my knowledge; I understand that any false statement or
misrepresentation may be cause for denial, reduction or repayment of any financial aid received.
Student Signature: Date:
RETURN THIS FORM ALONG WITH ANY OTHER REQUIRED DOCUMENTATION TO THE COMMUNITY COLLEGE CAMPUS THAT YOU WILL BE ATTENDING:
CAMPUS ADDRESS EMAIL PHONE
Hawaiʻi Community College 1175 Manono Street * Hilo, HI 96720 hawccfao@hawaii.edu (808) 934-2712
Honolulu Community College 874 Dillingham Boulevard * Honolulu, HI 96817 honccfao@hawaii.edu (808) 845-9116
Kapiʻolani Community College 4303 Diamond Head Road * Honolulu, HI 96816 kapfao@hawaii.edu (808) 734-9537
Kauaʻi Community College 3-1901 Kaumualiʻi Highway * Lihuʻe, HI 96766 kauccfao@hawaii.edu (808) 245-8360
Leeward Community College 96-045 Ala ʻIke Street * Pearl City, HI 96782 lccfao@hawaii.edu (808) 455-0606
University of Hawaiʻi Maui College 310 West Kaʻahumanu Ave * Kahului, HI 96732 mauifa@hawaii.edu (808) 984-3277
Windward Community College 45-720 Keaʻahala Road * Kāneʻohe, HI 96744 wccfao@hawaii.edu (808) 235-7449
The University is committed to a policy of nondiscrimination on the basis of race, sex, gender identity and expression, age, religion, color, national origin, ancestry, citizenship, disability,
genetic information, marital status, breastfeeding, income assignment for child support, arrest and court record (except as permissible under State law), sexual orientation, national guard
absence, or status as a covered veteran. UH Title IX Coordinators' names and contact information are available at: https://www.hawaii.edu/titleix/help/coordinator/ and UH 504
Coordinators’ names and contact information are available at: https://www.hawaii.edu/offices/eeo/ada-504-coordinators/
UH HILO, UH WEST OAHU AND UH MĀNOA STUDENTS NEED TO CONTACT THEIR FINANCIAL AID OFFICE FOR CAMPUS SPECIFIC FORMS.
Rev. 10/2018
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome