Unusual Circumstance Appeal Form for Returning Students

Appeal Information

*Denotes a required field.

Loyola Student ID*

Student First Name*

Student Last Name*

Student Phone Number*

Student Loyola Email Address*

Current Address*

Country

Street

City

Region

Postal Code

Additional Appeal Information

Have you submitted your 2023-24 FAFSA?*

Yes

No

You will need to submit your 2023-24 FAFSA before you can submit this form. Please refer to your Self-Service Portal to confirm receipt of your 2023-24 FAFSA.

Parent for which extreme or unusual circumstances apply* (Select all that apply)

Parent 1

Parent 2

Parent 1 Circumstances and Requested Documentation

Check appropriate circumstances for Parent 1 and provide requested documentation as indicated below. Your financial aid counselor will contact you with instructions on how to upload the requested documents via your Self Service Portal (loyola.edu/selfservice).*

Parent is deceased or incapacitated - Please provide a copy of parent’s death certificate or medical diagnosis

Parent is incarcerated - Please provide documentation that verifies incarceration and lists anticipated release date

Unusual parental circumstance (i.e. parental abandonment, abuse, whereabouts unknown) - Please provide a written statement from student and third party circumstance professional that knows the student’s current situation

Parent 2 Circumstances and Requested Documentation

Check appropriate circumstances for Parent 2 and provide requested documentation as indicated below. Your financial aid counselor will contact you with instructions on how to upload the requested documents via your Self Service Portal (loyola.edu/selfservice).*

Parent is deceased or incapacitated - Please provide a copy of parent’s death certificate or medical diagnosis

Parent is incarcerated - Please provide documentation that verifies incarceration and lists anticipated release date

Unusual parental circumstance (i.e. parental abandonment, abuse, whereabouts unknown) - Please provide a written statement from student and third party circumstance professional that knows the student’s current situation

Student Certification

I understand the Office of Financial Aid reserves the right to contact third-party professionals who provided supporting documentation. I agree to submit additional documentation should the Office of Financial Aid make such a request. I understand my appeal could be denied and I would be provided an explanation accordingly.

Electronic Student Signature*

Date*