2025-2026 Professional Judgment Appeal

Separation from employment due to layoff, termination, or disability

• Letter from employer on company letterhead including last date of employment
• Unemployment benefits determination document
• Documentation of year-to-date income (last pay stub, severance pay, SSI benefits, etc.)

Excessive non-reimbursed medical and/or dental expenses

• Documentation of non-reimbursed medical and/or dental expenses
• Canceled checks verifying payments made in 2024.
• Documentation of year-to-date income (last pay stub, severance pay, SSI benefits, etc.)

Loss or reduction of untaxed income source (disability benefits, welfare benefits, child support, etc.)

• Copy of notification of benefits reduction/termination, including the effective date
• Documentation of 2024 expected benefits
• Documentation of 2024 year-to-date income (taxable and non-taxable)

Separation or Divorce that occurred after completing FAFSA

• Copy of court order, final divorce decree or legal separation agreement
• W-2s for the year 2023.
• Documentation of 2024 year-to-date income

Death of a parent (or spouse) that occurred after completing FAFSA

• Copy of death certificate
• Documentation of 2024 year-to-date income

Cost of attendance adjustment.

• Supporting documentation as requested by the Office of Financial Aid

Additional Children in College

• Supporting documentation of at least ½ time enrollment at a Title IV aid eligible institution and anticipatedout-of-pocket expense.

Other unusual circumstances

• Supporting documentation of additional educational expense incurred

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Year

Student Name(Required)

Student ID(Required)

Parent(s) Name(Required)

Bluefield State University recognizes that families experience special circumstances which merit recalculation of their financial aid eligibility based on this year’s information, rather than 2023 income information. Please be advised that all professional judgment appeal decisions are final.

Please check the box beside the circumstances that apply to your situation and submit the necessary paperwork.(Required)

Separation from employment due to layoff, termination, or disability

Excessive non-reimbursed medical and/or dental expenses

Loss or reduction of untaxed income source (disability benefits, welfare benefits, child support, etc.)

Separation or Divorce which occurred after completing FAFSA

Death of a parent (or spouse) which occurred after completing FAFSA

Cost of attendance adjustment.

Additional Children in College

Other unusual circumstances

HOUSEHOLD SIZE (Number of people supported by household income)(Required)

Statement of Projected 2025 Income

This section asks about income and benefits that you and your family expect to receive between January 1, 2025 and now.

Taxable Income

Father’s earnings(Required)

Mother's earnings(Required)

Student's earnings(Required)

Spouse's earnings(Required)

Untaxed Income

Unemployment Compensation Received(Required)

Social Security Benefits(Required)

Child Support Received(Required)

Public Assistance(Required)

Other Untaxed Income (workman’s compensation, Veteran’s benefits, cash support, etc.)(Required)

By signing this document I/we certify that the information provided is complete and accurate to the best of my/our knowledge. I/we agree to provide more detailed documentation if required.

Student's Signature(Required)

Spouse's Signature

Parent’s Signature (if dependent student)