2
Loss of Income
Reduction or loss of income from work must be for at least ten (10) weeks or sufficient documentation of change and new
employment.
Student Date of layoff/termination:
Spouse Date of layoff/termination:
• Has the student started another job?
No Ye
s If yes, give start date:
• Has the spouse started another job? No Yes If yes, give start date:
Required Documentation
:
• A
letter from employer verifying loss of employment including effective dat
e
• A
copy of the last pay statement showing gross earnings year-to-date income for all jobs worked for both student and/
or
spouse.
If
more than one employer per parent, please include start/end date in written statement
.
• Documentation of unemployment benefits from state agency
• D
ocumentation of severance pay received, or IRA’s, stocks, bonds, pensions, etc. (converted to cash)
.
Loss of Child Support
Name of Child: Amount received in 2020: Date support ended:
Name of Child: Amount received in 2020: Date support ended:
Required Documentation:
• A copy of legal separation/divorce decree that specifies amount of child suppor
t
• S
tatement from the Friend of the Court documenting amount of child suppor
t
Receipt of One-Time Income
Consideration for and one-time income may only be reviewed once during a student’s enrollment at Lake Michigan College.
Required Documentation:
• A signed copy of your 2018 U.S. Federal Tax Return and/or 1099 Form
• Written statement explaining the reason for early withdrawal
Separation or Divorce since 2018
Please note that you must be residing in separate households and provide documentation.
Date of separation/divorce:
Required Documentation:
• A copy of y
our most recent pay statement; and
• A copy of the divorce decree/legal separation papers; and
• Documentation of spousal support and/or child support.
Death of a Spouse since 2018
Date of death:
Required Documentation:
• A copy of the death certificate; and
• Student’s 2020 income information.
Other Circumstances not addressed in the above categories
Required Documentation:
• Submit a statement that explains changes in your financial and/or family situation; and
• Supporting documentation.
