Wayne State University

Aim Higher

School of Medicine

Financial Aid Forms


Completed forms may be faxed, emailed, or delivered in person to the School of Medicine financial aid office

Mazurek Medical Education Commons
320 E. Canfield, Suite 317
Detroit, MI 48201
Fax: (313) 993-1342
Office: (313) 577-1039

Note: Forms are in Portable Document Format (PDF).

Cost of Attendance Forms

2015-16 Forms

Daycare Expense Budget Increase Request

Budget Increase Request

Special Circumstance Appeal Form

Residency Interview Budget Adjustment Request Guide

Residency Interview Budget Adjustment Request Form

Residency Interview Travel Schedule Template

*More information about residency interview expenses and ways to save is located in the Financial Literacy BlackBoard course



Federal Direct Loan Forms

2015-16 Forms

Federal Perkins Loan
Master Promissory Note
The printed MPN with original signature must be submitted to the School of Medicine Financial Aid Office (no faxes or photocopies).

Federal Direct Loan Revision Form
Use this form to increase, decrease or cancel an existing Unsubsidized Loan.


Grad PLUS Loan Revision Form
To increse a Grad PLUS Loan, complete a new application on 


Leave of Absence (LOA) Information

Leave of Absence Information and Form


Satisfactory Academic Progress Appeal Form

Medical students who do not maintain the Satisfactory Academic Progress (SAP) as outlined by the WSU School of Medicine Promotions Committee will be placed on Financial Aid Probation and must submitan appeal form to be considered for continued eligibility.

2015-16 SAP Appeal Form 

Summer Work-Study

Summer Work-Study Information and Application

Summer Work-Study Adjustment Request Form


Verification Forms

Please check your requirements in Academica and submit only the forms that are requested. If you submit incorrect or unnecessary documents, your award may be delayed.

2015-16 Forms

Verification of 2014 Income 

Verification of Household Size and Number in College Form

Verification of Child Support Form

Verification of SNAP (Food) Benefits Form

Verification of Other Untaxed Income

Verification of Assets

Verification of Tax Filing Status

Unusual Enrollment Verification Form

Documentation of Other Support Recieved