WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
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OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Professional
Judgment Request Form
(July 1, 2020 – June 30, 2021-Tax Year: 2018)
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
On a case-by-case basis, the U.S. Department of Education authorizes financial aid administrators to adjust certain data elements on a
student’s FAFSA to account for special circumstances that can better reflect their ability to pay for their education. The Financial Aid
Office will reevaluate your financial aid eligibility based on your income for either the 2019 tax year (1/1/19 to 12/31/19) or projected
income for the 2020 tax year (1/1/20 to 12/31/20). If request is received after the Fall semester has ended, please complete and
submit your taxes for the 2019 year.
SECTION I: Please select the option that best describes your special circumstances.
Loss of Job/Change of Job Status for Student/Spouse/ Parent (must be for 90 consecutive days or more)
• Typed statement explaining circumstances
• Termination letter/Severance letter from employer with last date of employment. If military discharge,
provide a copy of DD214.
• Most recent pay stubs or statement of earnings to date
• Unemployment benefits statement or statement of ineligibility for unemployment benefits.
• 2018 and 2019 Tax Transcript including W2s or Wage & Income Transcript
• Retirement benefits (if loss of income is due to retirement)
Loss of Benefits/Other Untaxed Income (due to Child Support, Alimony, Worker’s Compensation, Disability, Social
Security Benefits, Unemployment Compensation, etc.)
• Typed statement explaining circumstances
• Statement from agency with last date of benefits and year-to-date amount received
• 2018 and 2019 Tax Transcript including W2s or Wage & Income Transcript
Death of Spouse or Parent (for dependent students)
• Typed statement explaining circumstances
• A copy of the death certificate
• A copy of student’s Birth Certificate (if reporting death of a parent)
• A copy of student’s Marriage Certificate (if reporting death of spouse)
• 2018 and 2019 Tax Transcript including W2s or Wage & Income Transcript
Divorce or Separation (Student or Parent)
• Typed statement explaining circumstances
• Divorce decree or Separation agreement (must have separate living accommodations)
• 2018 and 2019/or Tax Transcript including W2s or Wage & Income Transcript
Other Special Circumstances (one-time income from IRA distribution, inheritance, capital gain, etc.)
• Typed statement explaining circumstances
• Supporting documentation
• 2018 and/or 2019 Tax Transcript including W2s or Wage & Income Transcript
