REQUEST FOR INCREASE TO STUDENT EDUCATIONAL BUDGET

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Instructions for making an appeal to the Student Educational Budget

There are several types of appeals listed below.  If you wish to be considered for one of the following appeals, please read below and submit appropriate documentation:

Date:

Name:

PID#:

Academic year: 2012-13

Grade Level:

Type of Appeal:

□ Transportation:

Transportation expenses associated with essential car repairs, incurred during the current academic year, not reimbursed by insurance and exceeding the educational budget amounts. 

       □ Attach letter explaining circumstances and costs not reimbursed by car insurance-appeals only cover cost of repairs needed to keep vehicle operational, which are not already included in the educational budget

       □For required maintenance repairs, attach paid receipt from auto repair service

       □For insurance repairs, attach estimate and paid receipt

□ Child Care Allowance: Available to OU-HCOM students who are single parents with children or who have spouse that are working or enrolled full time. Please note that the appeals for projected daycare costs may be subjected to verification at the end of the academic year.  Audit findings that differ from the appeal may result in the student having to return funds. Your appeal amount will be limited to these amounts. 

       □ Complete form at: OU-HCOM Day Care Provider Certification Form

 □ Dependent Child Allowance: Available to OU-HCOM students with dependents.  This appeal is intended for students who meet certain financial aid income guidelines.  Annual limits apply.  For details, feel free to call the financial aid coordinator.

       □ Submit letter requesting a review of FAFSA data to determine eligibility

□ Change of Income: Available to OU-HCOM student whose current year income is less than their previous year’s income. 

       □ Complete and attach form available on the web: Change of Income Form.    

□ Attach final paycheck showing earnings to date

□ For spouse, if applicable, attach a letter from employer indicating last date of employment

□ Medical Expenses:

Unusually high medical expenses not reimbursed by insurance and exceeding the medical allowances in the educational budget.  This appeal is limited to the OU-HCOM student’s medical expenses only incurring during the current academic year.  Medical expenses for family members may not be included in an appeal.

       □ Attach a letter explaining circumstances and costs not reimbursed by insurance, which are not already included in the educational budget

       □ Attach insurance documentation of reimbursed costs

       □ Attach receipts of medical expenses paid

□ Costs associated with disability accommodation

       □ Requires a letter from the student to the director of student affairs explaining circumstances

       □ Director will identify other documentation required on individual circumstances