Professional Judgment Request: Special and/or Unusual Circumstances Logo
  • Professional Judgment Request

    (Special and/or Unusual Circumstances)
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  • "Special Circumstances" and "Unusual Circumstances": What's the Difference?

    Special Circumstances: refers to the current financial situation (i.e. loss of job, high medical expenses, etc.) of the student, parent, and/or student's spouse. 

    Unusual Circumstances: commonly referred to as a "Dependency Override". Refers to adjusting a student's dependency status based on a unique situation (i.e. incarceration, parental abandonment, human trafficking, refugee or asylee status, etc.). 

  • Check which appeal you are submitting AND provide documentation to support your appeal below:

    (Click "SUBMIT" when form is complete.)
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  • Required Documentation

    Please attach as much documentation as possible that is relevant to and supports your appeal.
  • Provide an itemized list of out-of-pocket medical or dental expenses (if applicable):

    • Do not list expenses covered by your insurance provider.
    • Do not list any expenses that are not related to medical or dental expenses as they will not be considered.
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  • Student Signature

  • Clear
  • Spouse or Parent Signature

  • Clear
  • By clicking the submit button below, I certify that all of the information reported on this form and any attachments are true, complete, and accurate to the best of my knowledge.

    After form submission, please allow 2 to 3 weeks for processing.  Further documentation may be required. Direct any inquiries to Jennifer Logacz at jenlogacz@adams.edu .

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