Special Circumstances Form

Federal regulations allow the Financial Aid Office to use professional judgment to make changes to the original information reported on the FAFSA, when a valid reason for the change exists. Some of the more common reasons are listed below. If you meet the criteria listed for consideration, mark the reason and give a brief explanation. If the reason is not listed below, please submit a written explanation with appropriate dollar amounts to the Financial Aid Office.

You must include specific dollar amounts when filling out this form.

Student Information & Circumstance

Student First Name

Student Last Name

Please select the special circumstance(s) that applies:

Student’s (and/or spouse’s) income will change significantly from the income listed on the FAFSA. Please list your best estimate of the requested amounts for the twelve-month period between July 1, 2025, and June 30, 2026. Also, estimate the amount of federal income tax to be paid based upon that income.

Parents’ income (for dependent students only) will change significantly from the income listed on the FAFSA. Please list your best estimate of the requested amounts for the twelve-month period between July 1, 2025, and June 30, 2026. Also, estimate the amount of federal income tax to be paid based upon that income.

Divorce/Separation - Student and/or parent’s divorced or separated after filing the FAFSA.

One-Time Income Change - Student/Spouse/Parent received a one-time income payout. Documentation of one-time income, including amount, type of income, and date received. Additional documents may be required.

Unusual expenses (usually medical or dental). Required documents will be determined by situation.

Other

Please Explain Your Situation:

Date of Separation/Divorce (mm/dd/yy)

List the members of your household that physically reside with you or for whom you provide over 50% of their support

Please upload:

o A court-stamped copy of the divorce decree, legal court separation paperwork, or

o If not divorced/legally separated, provide proof of separate residences

Estimated Income

Please provide the following information (in gross amounts, estimates are acceptable) for the 2025-2026 academic year (July 1, 2025, through June 30, 2026). Please do not leave any line blank. If the amount is zero, please put a zero on the line item. **Please note that we may request additional documents.

IRS form locations are for reference. If you are unsure of an item, you can estimate based on the amounts entered in the previous year’s tax return.

Income Earned (IRS Form 1040, line 1z or W2s, Box 1)