State Grant Documents

To request reconsideration of State Grant eligibility based on special family circumstances, or to update enrollment data, select the proper form below. Refer to submission deadlines found on each form.

  • Use 2008-09 academic year forms for Fall 2008 or Winter/Spring 2009 enrollment.
  • Use 2009-10 academic year forms for Fall 2009 or Winter/Spring 2010 enrollment.

Learn more about the Summer State Grant application and deadlines.

Sign In/Create Account to:

  • Complete a PA State Grant Form
  • View State Grant Status
  • Update Enrollment Info

Secure Sign-In >

General

Form 2008-09 Academic Year 2009-10 Academic Year
Rights and Responsibilities Certification: Explains rights, use of SSN, and certification for a PA State Grant.   Download 2009-10 Form (44 KB PDF)
Enrollment Information Change: Use if you have changes to your mailing address, telephone number, school of attendance, enrollment status, housing status, or program of study. Or, sign in to update your enrollment information online. Download 2008-09 Form (81 KB PDF) Download 2009-10 Form (80 KB PDF)
Academic Progress Exception Download 2008-09 Form (105 KB PDF) Download 2009-10 Form (33 KB PDF)
Home School Verification: Use if you are the recipient of a high school diploma as the result of home study. Download 2008-09 Form (29 KB PDF) Download 2009-10 Form (32 KB PDF)

For independent/veteran students

Form 2008-09 Academic Year 2009-10 Academic Year

Incomplete Grant Status Notice: Use to supply additional information necessary for completing your State Grant record. You do not need to fill out the entire form - only submit the information that is incomplete on your record.

To view your list of incomplete items, sign in to Account Access, then go to “Applications & Status” and select the “PA State Grant Status” link.

Download 2008-09 Form (595 KB PDF) Download 2009-10 Form (4.4 MB PDF)
Reduced Income: Use if you or your spouse experience a reduction of income due to: (1) a recent job loss or change; (2) retirement; (3) permanent and total disability, or (4) upon the recent death of a spouse. Download 2008-09 Form (140 KB PDF) Download 2009-10 Form (47 KB PDF)
Income Validation: Use to provide PHEAA with a complete copy of your (and your spouse's, if married) U.S. Income Tax Return(s), all supporting wage and tax statements (W-2 Forms) and all supporting schedules and tax forms. Download 2008-09 Form (581 KB PDF) Download 2009-10 Form (40 KB PDF)
Estimated Income Validation: Use to verify your income if you submitted your FAFSA using estimated family income because you hadn't yet filed your tax return with the IRS. Send PHEAA a complete copy of your (and your spouse's, if married) U.S. Income Tax Return along with this form. Download 2008-09 Form (590 KB PDF) Download 2009-10 Form (51 KB PDF)
Recent Separation/Divorce: Use if you experience a recent marital separation (of at least two full months) or a divorce. Download 2008-09 Form (133 KB PDF) Download 2009-10 Form (43 KB PDF)
Medical/Dental Expense: Use if you or your spouse paid extraordinary out-of-pocket unreimbursed medical or dental expenses. Download 2008-09 Form (109 KB PDF) Download 2009-10 Form (36 KB PDF)
Family Size/Number Enrolled Clarification: Use to make corrections/updates to the number of household members that: (1) will receive more than 50% of your support, and/or (2) are enrolled in college for at least six credits. Download 2008-09 Form (114 KB PDF) Download 2009-10 Form (39 KB PDF)
October Verification: Use to provide PHEAA with an update to your (and your spouse's, if married) 2008 income estimate if you previously advised the agency that you or your spouse experienced a reduction of income due to: (1) a recent job loss or change, or (2) retirement. We need this information to process your winter and/or spring terms. Download 2008-09 Form (44 KB PDF) Download 2009-10 Form (47 KB PDF)
Untaxed Income Verification: Use to answer or make corrections to how much untaxed income your family received during 2008.   Download 2009-10 Form (43 KB PDF)
Additional Financial Information Clarification: Use to answer or make corrections to this section of the FAFSA.   Download 2009-10 Form
(42 KB PDF)

For dependent students

Form 2008-09 Academic Year 2009-10 Academic Year

Incomplete Grant Status Notice: Use to supply additional information necessary for completing your State Grant record. You do not need to fill out the entire form - only submit the information that is incomplete on your record.

To view your list of incomplete items, sign in to Account Access, then go to “Applications & Status” and select the “PA State Grant Status” link.

Download 2008-09 Form (595 KB PDF) Download 2009-10 Form (4.5 MB PDF)
Reduced Income: Use if your family experiences a reduction of income due to a supporting parent’s or stepparent’s: (1) recent job loss or change; (2) retirement; (3) permanent and total disability, or (4) upon the recent death of a supporting parent or stepparent. Download 2008-09 Form (141 KB PDF) Download 2009-10 Form (47 KB PDF)
Income Validation: Use to provide PHEAA with a complete copy of your parents' U.S. Income Tax Return(s), all supporting wage and tax statements (W-2 Forms), and all supporting schedules and tax forms. Download 2008-09 Form (564 KB PDF) Download 2009-10 Form (51 KB PDF)
Estimated Income Validation: Use to verify your family's income if you submitted your FAFSA using estimated family income because your parents' hadn't yet filed their tax return with the IRS. Send PHEAA a complete copy of your parents' U.S. Income Tax Return along with this form. Download 2008-09 Form (590 KB PDF) Download 2009-10 Form (51 KB PDF)
Recent Separation/Divorce: Use if your parents, or supporting parent/stepparent, have been separated for at least two full months or recently divorced. Download 2008-09 Form (135 KB PDF) Download 2009-10 Form (44 KB PDF)
Medical/Dental Expense: Use if your family paid extraordinary out-of-pocket unreimbursed medical or dental expenses. Download 2008-09 Form (110 KB PDF) Download 2009-10 Form (36 KB PDF)
Family Size/Number Enrolled Clarification: Use to make corrections/updates to the number of household members that: (1) will receive more than 50% of your supporting parent(s), or parent’s/stepparent’s support, and/or (2) are attending college for at least six credits. Download 2008-09 Form (114 KB PDF) Download 2009-10 Form (38 KB PDF)
October Verification: Use to provide PHEAA with an update to your parent(s)' 2008 income estimate if you previously advised the agency that your family experienced a reduction of income due to a supporting parent's or stepparent's: (1) recent job loss or change, or (2) retirement. We need this information to process your winter and/or spring terms. Download 2008-09 Form (44 KB PDF) Download 2009-10 Form (47 KB PDF)
Untaxed Income Verification: Use to answer or make corrections to how much untaxed income your family received during 2008.   Download 2009-10 Form (44 KB PDF)
Additional Financial Information Clarification: Use to answer or make corrections to this section of the FAFSA.   Download 2009-10 Form
(42 KB PDF)