Financial Aid Office ● 197 Franklin St. • Auburn, NY  13021

   315-255-1743 ext. 2470 • Fax 315-252-2185


 

2014-2015 FINANCIAL AID APPEAL FOR HIGH CHILDCARE COSTS


 

_____________________________________________________________________________________________

Student’s Printed Name                                                                                        Cayuga ID #

 

The federal government allows an adjustment of income for unusual high childcare costs.

 

Instructions:

Ø  In order to be considered for any federal professional judgment all students must complete a federal aid application (FAFSA) and complete the federal verification process.

Ø  All students are required to complete the 2014-2015 Household Size and Number in College Form.

Ø  Students (and Spouse) are required to submit a copy of their 2013 IRS Tax Transcript or 2013 Non-Tax Filer statement along with copies of their 2013 W-2 Forms.

Ø  Parents of dependent students are required to submit a copy of their 2013 IRS Tax Transcript or 2013 Non-Tax Filer Statement along with copies of their 2013 W-2 Forms.

Ø  Depending on the reason for your appeal, you are required to submit the supporting documentation listed under each reason for your appeal.

 

Please complete the questions below:

 

Family Member in Child Care

Total Paid for Childcare

Year Paid (2013 or 2014)

 

 

 

 

 

 

 

DOCUMENTATION REQUIRED:  LETTER FROM CHILD CARE PROVIDER OR CENTER CONFIRMING THE AMOUNT YOU PAID IN 2013 OR 2014.

 

Certification Statement:

The information provided on this form is true and complete to the best of my knowledge.  I have submitted a copy of the documents listed above and any other supporting documentation requested on this form.

_____________________________________________________________         ____________________

Student Signature                                                                                                                                           Date

 

 

Parent Printed Name                                                                                                                    

__________________________________________________________________           ______________________

Parent Signature (if applicable)                                                                                                Date

Office Use Only:       Appeal Approved _________             Appeal  Denied ________      

ActionTaken:____________________________________________________________________________

_______________________________________________________________________________________

FA Counselor :__________________________________________________Date:__________________