Fillable Recalculation 18 (University of Central Missouri)

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Recalculation 18 (University of Central Missouri)

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University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Phone 660-543-8266
FAX 660-543-8080
On-line:
www.ucmo.edu/sfs
Recalculation of
Federal Financial
Aid Eligibility
2018/2019
UCM use only
Recalculation_18.pdf Page 1 of 2 Feb 27, 2018
RECLC1
______________________________________________ 700______________________________
Student’s Name (please print) UCM ID Number
Permanent/Home Mailing Address:
___________________________________________ ______________________________ ________ _______________
Number/Street/Apt. City State Zip Code
__________________________________________ _______________________________________
Permanent/Home Telephone # Student Telephone or Cell #
Unexpected circumstances or events beyond your control can impact the financial resources you and/or your family may
have set aside to pay the educational and living expenses of attending UCM. These circumstances or events often cannot
be reflected on your 2018/2019 Free Application for Federal Student Aid (FAFSA) or they may have occurred after you
submit your 2018/2019 FAFSA. Appeals are reviewed by a committee and are handled on a case-by-case basis.
Therefore...
• Respo
nd completely and accurately to all items on both pages of this document.
• Submit all required documents.
•
Submit copies of both you and yo
ur parents’ 2016 tax return transcripts. If you have not already submitted these
documents to our office for FAFSA verification, order a tax re
turn transcript
at www.irs.gov/Individuals/Get-
Transcript or by calling 1-800-908-9946. (Hard copies of tax return transcripts are required even if you/your parent
utilized the IRS Data Retrieval Tool when completing the FAFSA.)
The total gross income and/or benefits received by me, my parent(s), and/or my
spouse will be lower for the 2018
calendar year (January through December) than it was for the 2016 calendar year: (2016 is used as it is the same
tax year you used for your FAFSA.)
1. This reduction in gross income and/or benefits occurred for (check all that apply): me, my spouse,
my father/step-father, and/or my mother/step-mother.
2. This
reduction in gross income/benefits was caused by (mark only one):
Involuntary change in employment or unemployment.
Documents Needed: (additional documentation may be requested)
o Personal (signed) Letter of Explanation detailing circumstances
o
2016
W-2(s) (student, spouse, and/or parent(s))
o Fin
al pay-stub showing YTD earnings for whomever the income has been reduced or lost (if applicable)
o Termination Letter on company letterhead with signature and contact information
o Unemployment Benefits Statement (if applicable)
o Current pay-stub showing YTD earnings for whomever the loss occurred (if applicable)
Divo
rce or separation on the following date: ___________________
Documents Needed: (additional documentation may be requested)
o
A copy of 2016 Missouri tax return
o A co
py of divorce decree, legal separation agreement, letter from attorney or other professional (counselor,
member of clergy, etc., written on professional letterhead stationary), or current billing statements showing
separate addresses for each party is also required.
Retirement.
Documents Needed: Please provide separation letter, copies of 2016 W-2 for retiree, current 2018 statement of
benefits such as social security, IRA distributions, or other means of funding.
– Please continue on page 2 –
Page 2 of 2 RECLC1 Student’s Last Name______________________________ UCM # 700______________________
Death of an individual on the following date: ___________________
Documents Needed: (additional documentation may be requested)
o A copy of the death certificate
o
A copy of the 2016 Missouri state tax return
o An e
xplanation of any life insurance benefits already received or anticipated due to the death.
Disability:
Documents Needed: (additional documentation may be requested)
o Attach a (signed) letter of explanation, indicating the type(s) and amount(s) of benefits lost and how long the
benefits were/will be received during the 2018 year.
o Su
bmit a copy of any documentation verifying the disability.
Loss of financial benefits:
Documents Needed: (additional documentation may be requested)
o Attach a (signed) letter of explanation about the type(s) and amount(s) of benefits lost, and how long the benefits
were/will be received during the 2018 year.
o Subm
it a copy of any documentation verifying this loss of financial benefits.
3.
If other circumstances beyond your control caused (or will cause) your and/or
your family’s financial resources to be
lower for the 2018 calendar year than they were in 2016, attach a (signed) letter of explanation and include
documentation verifying these circumstances.
The following information MUST be provided.
Enter ‘0’ if there will be no expected gross income or benefit for that item.
Following
are the total gross income and benefits expected to be received during the 12-month 2018 calendar year
(January through December) for all family members:
Ea
rnings from employment - student ....................................................... $ ____________________
Earnings from employment – spouse (if applicable) ................................ $ ____________________
Earnings from employment - mother/stepmother ...................................... $ ____________________
Earnings from employment - father/stepfather .......................................... $ ____________________
Child Support received ............................................................................. $ ____________________
Unemployment Benefits ........................................................................... $ ____________________
Disability Benefits .................................................................................... $ ____________________
Veteran Benefits ....................................................................................... $ ____________________
Other (submit a signed letter of explanation) ........................................ $ ____________________
Total for the 12-month 2018 calendar year . . . . . . . . . . . . . . $ ____________________
I (we) certify that the information provided on (and included with) this request is true and accurate to the best of my (our)
knowledge. I (we) promise to notify the UCM Office of Student Financial Services if the above information changes after this
document has been submitted. I (we) understand that any adjustments made by the UCM Office of Student Financial Services may
or may not result in an increase in my federal financial aid eligibility.
Student Signature _________________________________________________ Date _____________________
Spouse Signature _________________________________________________ Date _____________________
Father/Step-father Signature ________________________________________ Date _____________________
Mother/Step-mother Signature ______________________________________ Date _____________________
Complete and submit this form and all supporting documents to the UCM Office of Student Financial Services
in person (1100 Ward Edwards Bldg.), or by mail (Student Financial Services, P.O. Box 800, Warrensburg MO 64093-5178), or
by fax (660-543-8080).
If all documentation has not been submitted there will be delays in processing.
============ UCM Office of Student Financial Services Use Only ============
[ ] Approved [ ] Denied Counselor Signature: __________________________________
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Recalculation 18 (University of Central Missouri)

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Completed 23 July 2020

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