Fillable Request For Dependency Override Form Fb (Robeson Community College)

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Request For Dependency Override Form Fb (Robeson Community College)

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  • 3 check-boxes
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File type: PDF

U.S.A. forms for Robeson Community College

BROWSE ROBESON COMMUNITY COLLEGE FORMS

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WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 3
FA20CDOV
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 Request for
Dependency Override Form
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
There are special circumstances when the Financial Aid Office at Robeson Community College may exercise
discretion to override a student’s dependency status.
A student is automatically Independent if he/she:
• The student was born before January 1, 1997
• The student is married as of the date he/she applies
• The student is working on a master’s, doctoral degree or graduate certificate program at the beginning of the
2020-2021 school year
• The student is currently serving on active duty for purposes other than training,
• The student is a veteran of the U.S. Armed Forces,
• The student has dependents other than a spouse, who live and receive more than half of their support from you
between July 1, 2020 and June 30, 2021
• At any time since you turned age 13, were both your parents deceased, were you in foster care, or were you a
dependent or ward of the court?
• The student is an emancipated minor or in legal guardianship as determined by a court in the student’s state of
legal residence
• At any time on or after July 1, 2019 the student’s high school or school district homeless liaison determined that
the student was an unaccompanied youth who was homeless or was self-supporting and at risk of being homeless.
• At any time on or after July 1, 2019 the director of an emergency shelter or transitional housing program funded
by HUD determined the student was an unaccompanied youth who was homeless or was self-supporting and at
risk of being homeless.
• At any time on or after July 1, 2019 the director of a runaway homeless youth basic center or transitional living
program determined the student was an unaccompanied youth who was homeless or was self-supporting and at
risk of being homeless.
Students not meeting one of the above criteria are considered DEPENDENT by the US Department of Education
According to the Department of Education, you are NOT considered Independent if:
• Your parents refuse to contribute to your education
• Your parents are unwilling to provide information on the FAFSA or for verification
• Your parents do not claim you as a dependent for income tax purposes.
• You demonstrate total self-sufficiency
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 2 of 3
FA20CDOV
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 Request for
Dependency Override Form
STEP 1: Determining Eligibility
The following are unusual circumstance that may warrant a dependency override:
(Please check all that applies)
☐ Abandonment by parents
☐ Abusive family environment that threatened your health and safety
☐ Unable to locate your parents
STEP 2: Supplemental Information and Required Documentation
(Please check which situation best )
Mother
Father
Circumstance
Requested Documentation
Parent is deceased
A copy of each parent’s death certificate. If both
parents are not deceased, please provide a typed
statement addressing the following:
• the whereabouts of living parent
• the last time you had contact with the
living parent
• Two letters from a professional third
party detailing the circumstances
surrounding your case.
• Birth certificate
Parent is incarcerated
Documentation that verifies:
• the parent is incarcerated and lists the
parent’s anticipated release date.
• Birth certificate
Two letters from a professional third party
(teacher, counselor, medical authority, clergy,
prison administrator, government agency or
court) detailing the circumstances surrounding
your case. Letters from relatives and friends
are not acceptable.
Two letters from a professional third party
(teacher, counselor, medical authority, clergy,
prison administrator, government agency or
court) detailing the circumstances surrounding
your case. Letters from relatives and friends
are not acceptable.
Two letters from a professional third party
(teacher, counselor, medical authority, clergy,
prison administrator, government agency or
court) detailing the circumstances surrounding
your case. Letters from relatives and friends
are not acceptable.
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 3 of 3
FA20CDOV
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 Request for
Dependency Override Form
STEP 3: Required documentation for all requests
1. Attach a typed personal statement detailing the following:
a. Whereabouts of your parents
b. The last time you had contact with your parents.
c. Circumstances surrounding your relationship with both parents
d. Why you are requesting a dependency status change.
2. Two letters from a professional third party who can attest first-hand to your extenuating
circumstances (Examples of a professional third party: teacher, counselor, medical authority,
clergy, government agency or court). If letters are not from a professional third party, letters must
be notarized.
3. Include any additional documentation to corroborate the situation (police report, medical report, etc.)
4. Complete a 2020-2021 FAFSA application.
5. Complete a 2020-2021 Independent Verification Worksheet.
6. If you filed a 2018 federal tax return, attach a 2018 IRS tax return or 2018 tax transcript.
7. If you worked in 2018 but did not and was not required to file a 2018 tax return, attach all of your
W-2 forms AND a copy of the “Verification of Non-Filing Letter” from the IRS dated on or after
October 1, 2019 that confirms a 2018 tax return was not filed.
If your request is DENIED, please be prepared to submit a Dependent Verification Form, parent W-2s, parent
tax transcript and include parental information on your FAFSA application.
Certification:
I certify that the information is true and correct to the best of my knowledge and belief. I understand that RCC has the right
to require additional proof of the information provided on this form. I agree to submitting further documentation if
requested.
______________________________________ ___________________
Student Signature Date
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Request For Dependency Override Form Fb (Robeson Community College)

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Completed 26 July 2020

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