24/25 Special Circumstances Supplemental Application

The Financial Aid Office at Danville Area Community College requires that you write a brief paragraph explaining why you feel your situation warrants a reevaluation of your information for Federal Student Assistance Programs. You must also supply supporting documentation to your claim and complete this application thoroughly.

Write a statement below, explaining the circumstances of your situation. You must give dates to substantiate your information as well as return the proper forms that are related to your situation. You will be required to furnish your 2023 tax transcript, verification documents, and this form (be sure to complete all pages of this form). If basing the request on calendar year 2023, your federal tax return and any other resources will need to be documented.

If basing the request on calendar year 2024 estimate your resources as accurately as possible to avoid the need to correct information back to
the original base-year income eligibility. A reversal of the Special Conditions may result in you (the student) owing money back to the
financial aid programs.

You will be required to submit your 2023 federal tax return after filing (and 2024 if applicable).

Please provide necessary documents for your situation:

A. Involuntary Unemployment or change in employment

1. 2023 Tax Return Transcript and Income worksheet (2024 also needed if the event occurred in 2024)
2. Name, address, telephone number of former employer
3. Reason for loss of employment (from employer or State Unemployment office)
4. Check stub showing earnings to date
5. Verification of unemployment - and unemployment compensation (or fact not eligible for compensation)
6. Verification of disability and benefit (if applicable)

B. Death of a spouse or parent

1. Copy of death certificate
2. How income for 2023 and/or 2024 will be affected
3. Benefits to be received in 2023 and/or 2024 applicable (including insurance and/or “lump” sums)
4. 2023 tax return transcript

C. Divorce or separation of student or parent

1. Copy of separation or divorce decree (or statement from a lawyer) showing date of separation or divorce.
2. Income received for 2023 or to be received in 2024 (child support, alimony, etc.)
3. 2023 tax return transcript

D. Unusual medical and dental paid expenses your family has paid (must be above 11% Income allowance)

1. Document any medical or dental bills not paid by insurance in 2023 and/or 2024
2. You may submit canceled checks, bills, statements, etc.
3. 2023 and/or 2024 1040, schedule A

E. Any “other” situation you feel has warranted that you be considered for special conditions.

1. 2023 and 2024 tax return transcript
2. Non-recurring income, disability (Documented proof to support situation)

All students requesting this consideration after January 1, 2024, will be required to submit their year 2023 Federal Tax Return before a special circumstances will be considered in addition to documentations listed above.

WARNING: If you purposely give false or misleading information on this form, a $10,000 fine, prison sentence, or both may result. This would be considered a federal offense.

Choose section A or B depending on the calendar year you wish to be considered than complete section C.

Complete this form with parent information if you are a DEPENDENT student or with your information if you are an INDEPENDENT student (and spouse if married). You are considered DEPENDENT if parent (s) information was required on your financial aid application (FAFSA) when you originally applied for financial aid this award year.