Award Year 2019-2020 FPJINC
UMGC Financial Aid Office | 3501 University Boulevard East, Adelphi MD 20783 | help.umgc.edu
Independent Student Special Conditions Appeal Form: Loss of Employment
Student’s Name: __________________________________
Student’s ID #: ___________________________________
If your family has experienced significant changes in income that occurred on or after 01/01/2018 and which
merit recalculating your financial aid eligibility based on your projected annual 2019 income, rather than the
federally required 2017 income, please complete this form. You must be able to document that the reduction of
income has occurred for a period of at least ten weeks prior to submitting the appeal.
Before your appeal can be considered, your 2019-2020 Free Application for Federal Student Aid (FAFSA) must
be completed and all required documents must be submitted. UMGC is held accountable for all decisions made
and must be able to fully document why a decision was made to adjust a student’s FAFSA. If an appeal is
incomplete it will not be reviewed. Submission of an appeal does not guarantee approval of an appeal.
Additionally, approval of an appeal does not guarantee receipt of additional aid. You are responsible for all
outstanding charges with UMGC.
Required Documents: If a document listed below is not applicable to your situation, please submit a signed
statement indicating why you do not have the document.
1. Completed appeal form – both pages
2. A typed statement that explains your circumstances in detail – must be signed by hand and dated
3.
2017 Tax Return Transcript for student
2017 Tax Return Transcript for spouse (if applicable)
4.
5. The final / most recent 2019 pay-stubs for all members of your household
6. Termination notice(s) from employer(s) or letter(s) of resignation
7. Benefit statement(s) from Unemployment Administration showing monthly benefits or denial thereof
INSTRUCTIONS: Please provide all information requested in the following sections. If any are left incomplete,
your appeal will not be reviewed.
Part 1: List all asset information as of the date you initially filed your 2019-2020 FAFSA:
Total cash, savings, and checking account balance(s): $_________________________Balance
Financial Aid Office Use Only
Date__________________________________
Approved ________ Denied ____________
Signatures ____________________________
_________________ __________________
_________________ __________________
_________________ __________________
Appeal Deadline
Complete appeals for the 2019-2020 academic
year must be received by May 1, 2020.
2017 Wage and Income Transcript for student
2017 Wage and Income Transcript for spouse (if applicable)
