Fillable PROFESSIONAL JUDGEMENT 2020-2021 Student Information (Louisiana College)

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PROFESSIONAL JUDGEMENT 2020-2021 Student Information (Louisiana College)

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Page 1 of 2
Email: financial_aid@lacollege.edu Fax: (318) 487-7449 Mail: L.C. Box 582
Phone: (318) 487-7386 Pineville, LA 71359
PROFESSIONAL JUDGEMENT 2020-2021
The Office of Financial Aid at Louisiana College recognizes that families may experience a change in their financial situation after
the Free Application for Federal Student Aid (FAFSA) has been filed. Through the use of professional judgment, our Financial Aid
Director may be able to make adjustments to your FAFSA which could result in a recalculation of your eligibility.
Student Information
_________________________________________________________________________________________
Last Name First Name Middle Initial Student ID Number
_________________________________________________________________________________________
Address E-mail Address
_________________________________________________________________________________________
City State ZIP Code Phone Number
To Ensure Consideration of Your Request:
1. Please read the entire form (front and back) prior to completion.
2. Submit the required documentation listed below.
a. Professional Judgment Request Form - Submit this document with all appropriate signatures.
Note: If you fax this form, please be sure to fax both pages.
b. Appeal Letter - Provide a signed letter of appeal detailing your situation.
c. Verification Form - Submit a completed and signed copy of the appropriate verification form, which
can be obtained from our website at www.lacollege.edu in the Financial Aid Form Bank.
Note: If you have already provided verification documents, you do not need to re-submit them.
d. 2018 U.S. Income Tax Transcript - Submit a signed copy of the appropriate U.S. Income Tax
Transcript along with all W-2 forms.
Dependent Student: Submit the tax documents listed above for you and your parent(s)/step-parent
Independent Student: Submit the tax documents listed above for you and your spouse (if married)
3. Review the rest of this form and place a check mark beside all situations that may apply below and on the
following page. Submit required documentation for each situation that has been checked.
Please include student’s name and ID number at the top, right corner of each page submitted.
4. Once the Professional Judgment Request Form has been reviewed, additional information
may be requested.
Check the boxes that apply and submit all bulleted items below each box checked.
Decrease in student/spouse income: Must include an estimate of gross income from work between June 1, 2020-
May 31, 2021
Student_______________ Spouse $_______________
Documentation of income from other sources, such as unemployment compensation
Copies of most recent pay stubs
Termination notice from employer on letterhead with last date of employment
Letter of resignation
Page 2 of 2
Email: financial_aid@lacollege.edu Fax: (318) 487-7449 Mail: L.C. Box 582
Phone: (318) 487-7386 Pineville, LA 71359
Decrease in parent(s) income: Must include an estimate of gross income from work between January 1, 2020 and
December 31, 2020 (report only the person experiencing the decrease)
Father $_______________ Mother $________________
Documentation of income from other sources, such as unemployment compensation
Copies of most recent pay stubs
Termination notice from employer on letterhead with last date of employment
Letter of resignation
Major medical expenses not covered by insurance, already paid out-of-pocket
Copy of Schedule A if you itemized your deductions on your federal income tax return
Statements from the doctor, hospital, pharmacy, etc. showing personal payments made
Do not submit credit card bills or insurance statements, as this does not demonstrate payments made.
Business or Farm Debt
Copy of Schedule C for business or a copy of Schedule F for farm
Letter from bank indicating the total amount of principle paid during 2019. Letter should verify the principle is not
being paid by a rotating operating loan.
Educational Loan Repayment
Repayment of the educational loan began on: __________________________
Copy of current statement or payment coupon for each loan, showing monthly payment amount
Child support or Social Security benefits that have decreased or ended
Legal documentation or notarized statement indicating the amount and date of change
Parent in college at least half-time in a degree-seeking program
Letter from parent’s Registrar or Admission Office verifying parent’s degree program and enrollment status
Include In the appeal letter the beginning and ending dates of parent’s program
Lump sum distribution/non-recurring income inflates Adjusted Gross Income
Itemized statement of how that income was spent Copy of 1099-R (if available)
Tuition payments made for elementary/secondary school costs for younger siblings
Letter from school showing tuition payments for the current academic year
Bankruptcy (except Chapter 7 and 11)
Copy of court document indicating the amount of required monthly payment and how long payments will continue
Copy of section in court document prohibiting parent from incurring new debt
Certification Statement: The information I submit in support of this appeal is true and complete to the best of my knowledge. I
agree to give proof of all information as indicated above. I understand that approval of this request does not assure approval of a
similar future request and that any financial assistance offered if limited by the availability of funds in any given year. I understand
that the information provided in past requests may be reviewed for accuracy, and this can impact the outcome of this appeal.
Further, the accuracy of the information I submit in this appeal can affect the outcome of any future appeals I may submit.
Student Signature Date Parent Signature Date
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PROFESSIONAL JUDGEMENT 2020-2021 Student Information (Louisiana College)

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Completed 29 January 2021

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