Student Name ___________________________ Student ID or SSN ______________ Phone _______________
2017-18
LOAN ADJUSTMENT REQUEST/FEDERAL WORK STUDY DECLINE
Please return this completed form and all other required materials to:
Ottumwa Campus: Indian Hills Community College, Attn. Financial Aid, 525 Grandview Avenue, Ottumwa, Iowa 52501
Fax: 641-683-5741, Phone: 800-726-2585, ext. 5262 or 641-683-5262, email us at: OneStop@indianhills.edu
Centerville Campus: Indian Hills Community College, 721 North First Street, Centerville, IA 52544
Fax: 641-856-3158, Phone: 800-670-3641, ext. 2200 or 641-856-2143, ext. 2200 email us at: OneStop@indianhills.edu
Federal Direct Stafford Loan Annual Borrowing Limits
Academic/Class Level
Maximum Direct Loan Amount
(Subsidized & Unsubsidized combined)
Maximum Subsidized Loan Amount
1
st
Year Students
$5,500 - Dependent students
$9,500 Independents/Parent PLUS denial
$3,500
2
nd
Year Students;
*or successfully completed 24
credits in your program
$6,500 - Dependent students
$10,500Independents/Parent PLUS denial
$4,500
*You are considered a 2
nd
year student after successfully completing 24 credits in your program. Please note that not all
programs will have 2
nd
year eligibility.
Terms Attending:
Fall
Winter
Spring
I want to increase my loans because my grade level has changed from 0-23 credits to 24 or more credits
Please make the following adjustments to my student loans:
Loan
Type of Adjustment
Total Amount Requested for Year
Subsidized
Increase
Decrease
Cancel
$________
Maximum
Accept
Or
Eligibility
Unsubsidized
Increase
Decrease
Cancel
$________
Maximum
Accept
Or
Eligibility
Parent PLUS
Decrease
Cancel
$________
Maximum
Or
Eligibility
Comments/Explanations:
(I understand that IHCC will process Subsidized loan funds up to the annual amount above, or my maximum eligibility, whichever is
smaller, with the remainder in Unsubsidized loan funds.)
Request additional Unsubsidized loan due to PLUS loan denial
Due to my parent’s PLUS Loan denial, please increase my unsubsidized loan by $___________.
(Maximum of an additional $4,000 or remaining unmet need, whichever is less)
I wish to DECLINE my Federal Work study Award for 2017/18. Please check one of the following
Please recalculate my awards to determine additional eligibility for loans.
I do not wish to apply for additional loans.
Student’s Signature
(Required)
Date
Parent’s Signature
*
Date
(*Only Required for Parent Plus Loan Adjustments)
In addition, please be advised that you have the right to cancel or reduce your loan(s) by contacting OneStop.
FOR OFFICE USE ONLY:
Date Modified:
_____/_____/_____
Loan Adjusted by FAA Initials:
Notes: