Cost of Attendance Loan Adjustment Request Form
Submit your request to adjust your cost of attendance loan. Please complete all fields and attach any required supporting documents. All references to this form use the exact title: Cost of Attendance Loan Adjustment Request Form.
Student Full Name
*
First Name
Last Name
Student ID (Institutional Identifier)
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Term or Semester
*
Please Select
Fall 2026
Spring 2027
Summer 2027
Other
Cost of Attendance Category Affected
*
Please Select
Tuition & Fees
Room & Board
Books & Supplies
Transportation
Personal Expenses
Other
Request Type
*
Increase
Decrease
Amount Requested (USD)
*
Detailed Explanation / Justification for Adjustment
*
Supporting Document Upload (PDF, JPG, PNG, DOCX)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Current Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
Should be Empty: