KCC 2026-2027 Cost of Attendance Adjustment Request Form Parent of a Dependent Student

KCC 2026-2027 Cost of Attendance Adjustment Request Form Parent of a Dependent Student
OFFICE OF FINANCIAL AID
100 College Drive • Kankakee, IL 60901-6505 • (815) 802-8550 • FAX: (815) 802-8551
Federal Student Aid Regulations provide the potential for reevaluation if your financial circumstances change. The 2024 income information that you reported on your financial aid application may not be an accurate indicator of your ability to pay for educational costs. Your parent(s) must meet one of the circumstances listed below to qualify for reevaluation of your financial aid eligibility. Submission of this form does not guarantee a change in your financial aid eligibility. Each case will be evaluated on an individual basis.
STEP 1: Student Information
Name

First NameMiddle InitialLast Name
Date

MonthDayYear
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student ID Number
Phone Number
Format: (000) 000-0000.
Reason for Requesting a Cost of Attendance Adjustment
Select Reason for Requesting a Cost of Attendance adjustment and provide the required documentation.
Required Documentation

(Select a reason for requesting a cost of attendance adjustment above to see your required documentation)
A. Your parent(s) paid (not owed) a large amount of medical and/or dental expenses in 2024.
Required Documentation:
1. Medical Expenses Paid in 2024 (enter below)
2. Copy of your parents’ 2024 Federal Income Tax Schedule A if expenses were itemized (excluding insurance premiums paid)
3. Copies of medical and/or dental payments not covered by insurance that were paid in 2024.
Medical Expenses Paid in 2024
B. Your additional family members in college create financial hardship on your family.
Required Documentation:
1. Copy of the offer letter for family member(s) in college. The letter should include the Cost of Attendance, and anyfinancial aid awarded.
2. Copy of the family member(s) registration statement.
3. In your personal statement below, please include your relationship with the family member(s) that are in college.
C. Your parent(s) paid for elementary or secondary education expenses OR dependent care expenses.
Required Documentation:
1. In your personal statement, explain why these expenses are necessary and what sources will finance these expenses.Also, explain if these expenses will be reimbursed by another source.
2. In the table below, list family members and the amount of relevant support given for each.

Personal Statement
Explain your circumstances in detail. If more space is needed, please attach an additional page that is signed.
If your response exceeds the visible text area, please attach an additional signed page.

Dependent Student's Family Size
Family Size - Includes the following:
- Yourself
- Your parent(s) (including a stepparent) even if you do not live with your parent(s). Exclude a parent who has died or is not living in the household because of separation or divorce. Include a parent who is on active duty in the U.S. Armed Forces apart from the family.
- Your siblings if the following are true:
  - They live with the student's parents (or live apart because of college enrollment)
  - They receive more than half of their support from the student's parents
  - They will continue to receive more than half their support from the student's parents during the award year
- Other people if the following are true:
  - They live with the student's parents
  - They receive more than half of their support from the student's parents
  - They will continue to receive more than half their support from the student's parents during the award year.
The provided criteria for "dependent children" or "other persons" align with the requirement that family size align with whom the parent could claim as a dependent on a U.S. tax return if the parent were to file a U.S tax return at the time of completing the 2026-2027 FAFSA. As a result, the parent should not include any unborn children in the family size.

If more space is needed, provide a separate page with the student's name and ID number at the top.
Hidden field for auto-population (do not delete)

Dependent student's family size:

Rows	Full Name	Age	Relationship
1
2
3
4
5

Read, Sign, and Return to the Kankakee Community College Office of Financial Aid
Certification: All of the above information on this form and attached documentation is true and complete to the best of my knowledge. If asked by an authorized official, I agree to give additional proof of the information that I have given on this form. I realize that this proof may include a copy of a federal or state tax return. I also realize that if I do not give proof when asked, the Income Adjustment will not be reviewed.

Steps to complete your 2026-2027 Cost of Attendance Adjustment Request Form for Parent of a Dependent Students
1. Preview: Click "Download PDF for Printing" to review your document.
2. Verify: Check for accuracy. If needed, go back to the form to make edits.
3. Download & Print: Click the download button () in the upper-right corner and then print the file.
4. Sign: Sign and date all signature lines.
Should be Empty:

Rows	Name of Supported Family Member	Age	Relationship	Child Care Expense	Elementary Education Expense	Secondary Education Expense	Dependent Care Expense
1
2

KCC 2026-2027 Cost of Attendance Adjustment Request Form Parent of a Dependent Student

STEP 1: Student Information

Reason for Requesting a Cost of Attendance Adjustment

Required Documentation

Personal Statement

Dependent Student's Family Size

Steps to complete your 2026-2027 Cost of Attendance Adjustment Request Form for Parent of a Dependent Students