2018-2019 Forms

If you have been selected for verification for the 2018-2019 school year, the required verification worksheet will be emailed to your Dmail account and is also available on your myDixie account. Please print out the verification form, complete, sign and return it to our office.

Authorization to Credit Account: This form is required for all students who receive Financial Assistance at Dixie State University.

IRS Verification of Nonfiling (4506-T): This form is used to request IRS verification of non-filing.

Request for Re-evaluation: Complete and submit this form to request any changes to your financial aid award, (i.e. accept awards, cancel awards and reduce loan amounts) or to request additional loan amounts from remaining loan eligibility.

Appeal for Special Circumstances: If you or your family have special circumstances that need to be taken into account for consideration of financial aid, you must this form along with appropriate documentation (see form for details) before the appeal can be considered. Also, if your current financial aid application has not been verified, this process must be completed before you appeal will be considered.

Appeal for GPA-Earned Hours: If you did not meet the Satisfactory Academic Progress (SAP) requirements to continue to receive financial aid, you may appeal your financial aid suspension by completing this form. Be advised, you should also submit supporting documentation with your appeal before your appeal will be reviewed. If your appeal is granted, you must abide by ALL the conditions to remain eligible for future financial aid.

Appeal for Complete Withdrawal / No Credits Completed: If you completely withdrew from the semester and/or failed to complete any of your courses, you did not meet Dixie State University’s Satisfactory Academic Progress (SAP) requirements. You may appeal your financial aid suspension by completing this form. Be advised, you should also submit supporting documentation with your appeal before your appeal will be reviewed. If your appeal is granted, you must abide by ALL the conditions to remain eligible for future financial aid.

Summer Aid Request: To receive financial aid for the 2018 summer semester, you must submit this form. The form should be submitted no later than June 15, 2018 to be considered for aid eligibility.

Confirmation of Independent Status: You must complete and submit this form along with the appropriate documentation if you are required to prove Independent Status.

Appeal for Dependency Override: This form is for those students who DO NOT meet the federal criteria for Independent Status as outlined in the 2017-2018 FAFSA, but who want their unique circumstances reviewed in order to be considered an Independent Student for financial aid purposes. Be advised, you must complete all sections of this appeal before it will be reviewed.

PLUS Loan Information Form: If a parent is interested in applying for a Direct Parent PLUS loan, the parent is required to complete this Loan Information Form. Please submit this form to our office by mail or fax. Our contact information is on the form.

Scholarship Citizenship Confirmation: Students who receive a DSU scholarship and who DO NOT complete a FAFSA must complete and submit this form before their scholarship will be credited to their tuition balance. Students only need to complete this form once while attending DSU.

Degree Audit Request: This form must be completed by your Academic Advisor. It is required for all students who wish to receive financial aid and have reached the maximum credit hour limit for their academic program.

Financial Aid Reinstatement Request: This form is for those students who graduated with their associate or bachelor degree and would like to continue their education and receive financial aid. Students who applied at the beginning of the year but did not attend and would now like to attend beginning mid-year also need to complete this form.

Consortium Agreement: This form is for students who are taking course work at two schools during the same semester while working towards their degree. This form should be submitted within the first 3 weeks of the semester. Be advised, we cannot complete a consortium agreement with all schools. Please visit our office if you have any questions.

Consent of Release Student Information: The Family Education Rights and Privacy Act (FERPA) is a Federal law which protects the privacy of student education records. Under FERPA, a student must give written permission to have another individual, including parents, guardians or spouse access to their Dixie State University information. If you would like to waive your FERPA rights and allow another’s to have access to all your education records, you must complete and submit this form. Please read the form carefully. Signing the form outside of the presence of a Dixie State University Official will automatically void the form.

BankMobile Disbursements – If you have a student refund from Dixie State University, it will be deposited to your selected refund preference chosen at DixieOneCard.com. You have the option to receive your funds in various ways. For details, terms and conditions, visit DixieOneCard.com