Estimated Parent Income Adjustment

File this form if you have had an involuntary change in income or benefits. Involuntary changes include layoff due to downsizing and no longer being able to work due to medical reasons/caregiving needs and expiration of unemployment benefits. Voluntary retirement does not qualify for a contribution review. Please contact our office if you want to discuss the nature of your loss of income or benefits.


Do not submit a contribution review until you have filed the 2024-2025 FAFSA using the 2022 income. This form allows our office to estimate how a change in income could impact your financial aid at Mines. No adjustments will be made to your FAFSA from this form.

Estimated Parent Income Adjustment

MM slash DD slash YYYY
Please write a statement about what changed in your family’s financial situation, so we have a clear picture of the financial impact.
Please provide income information for the following (add a line for each type of income):

1. Parent 1 Annual Work Income

2. Parent 2 Annual Work Income

3. Retirement Account Withdrawals

4. Child Support Received

5. Interest/Dividend Income

6. Social Security Income

7. Unemployment Compensation

8. Disability Income

9. Severance

Income type
Actual 2023
Projected 2024
If you would rather upload a statement and/or a spreadsheet of expenses, you may do so here.
Drop files here or
Max. file size: 50 MB.

    Contact Info

    Mailing address:
    Colorado School of Mines
    Financial Aid Office
    1301 19th Street
    Golden, CO 80401

    Office Location:
    Ben Parker Student Center, E160
    1200 16th St
    Golden, CO 80401 

    Toll-free: 1-888-446-9489

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