Fillable Form 616: FVCREVRQ 2020-2021 REVISION REQUEST FORM (Henry Ford College)

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Form 616: FVCREVRQ 2020-2021 REVISION REQUEST FORM (Henry Ford College)

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FVCREVRQ
2021 RevisionRequest 7/20/20
2020-2021 REVISION REQUEST FORM
This form is to be used by students who have already been packaged financial aid (Offer Letter is viewable
on Financial Aid Self Service) and wish to reduce, reinstate, cancel, or request an increase of offered aid If
you were packaged for Fall 2020 and Winter 2021 and would like to be considered for Spring/Summer 2021,
do not use this form. Instead, you must complete the Spring/Summer Application (available February 2021).
N
AME: ____________________________________________ HFC ID:____________________
REDUCE AID
If you wish to decline or decrease aid offered, please indicate which award below.
Feder
al Work Study (FWS)
Decline FWS award: Fall 2020 Winter 2021 Spr/Sum 2021
Decrease FWS award Fall $______ Winter $______ Spr/Sum $_______
Are you currently working a work-study job? Yes No
Last Date Worked ____________ Supervisor’s Name ___________________________________
Loans
*Only loan funds that have not be disbursed may be declined or decreased.
*All loan offers will be added to the student’s account and be disbursed in two equal disbursements.
Fall/Winter loans will be equally disbursed (half during Fall semester, half during Winter semester)
Fall-only, Winter-only and Spring/Summer-only loans will be paid out half at the start of the semester
and half at the midpoint of the semester.
S
ubsidized Loan
Decline all subsidized loan
Decline one semester of loan: Fall 2020 Winter 2021 Spr/Sum 2021
Decrease subsidized loan to equal the total amount for the year $ ________________
Unsubsidized Loan
Decline all unsubsidized loan
Decline one semester of loan: Fall 2020 Winter 2021 Spr/Sum 2021
Decrease unsubsidized loan to equal a total amount for the year $ ________________
REINSTATE AID
I previously declined aid and request to be reoffered.
Pell Grant
Federal Work Study
Subsidized Loan
Increase my loan to the maximum amount allowed OR
Only increase my Subsidized loan to $_________ to equal the total amount for the year.
Unsubsidized Loan
Increase my loan to the maximum amount allowed OR
Only increase my Unsubsidized loan to $_________ ,to equal the total amount for the year.
Office of Financial Aid
5101 Evergreen, Dearborn, MI 48128
(313)845-9
616
Fax (313) 845-9
825
www.hfcc.edu
School Code: 00227000
FVCREVRQ
2021 RevisionRequest 7/20/20
CANCEL AID
Please cancel all undisbursed financial aid for the following terms as I do not plan to attend HFC.
Fall 2020 Winter 2021 Spr/Sum 2021
INCREASE AID
To be considered for Federal Work Study, Subsidized Loans, or Unsubsidized Loans, other aid may need to
be declined or decreased to accommodate your request. Please complete the section titled Reduce Aid if
you wish to decline or decrease aid (optional). If you choose not to decline or decrease aid and we are
unable to award or increase the aid you request, you will receive a Revision Request Denial Letter.
I wish to be considered for an increase of the following:
Federal Work Study Fall 2020 Winter 2021 Spring/Summer 2021
Subsidized Loan Fall 2020 Winter 2021 Spring/Summer 2021
Unsubsidized Loan Fall 2020 Winter 2021 Spring/Summer 2021
SIGNATURE: ____________________________________ DATE: _______________
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Form 616: FVCREVRQ 2020-2021 REVISION REQUEST FORM (Henry Ford College)

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Completed 17 September 2020

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