Wayne State University

Aim Higher

School of Medicine

Financial Aid Forms

Completed forms may be faxed, emailed, or delivered in person to either the School of Medicine financial aid office or to the Main Campus financial aid office, which is located in The Welcome Center.

Wayne State University
The Welcome Center
Office of Student Financial Aid (Main Campus)
42 W. Warren Avenue
Detroit, MI 48202
Fax: (313) 577-6648
Wayne State University School of Medicine
Mazurek Medical Education Commons
320 E. Canfield, Suite 317
Detroit, MI 48201
Fax: (313) 993-1342
Office: (313) 577-1039
Email: finaidmed@wayne.edu

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

Cost of Attendance Forms

Daycare Expense Budget Increase Request

Budget Increase Request

Special Circumstance Appeal Form

Residency Interviews Budget Adjustment Request Form

Residency Interview Travel Schedule Template


Federal Direct Loan Forms

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

Grad PLUS Loan Revision Form
Use this form to decrease an existing Grad PLUS Loan.
To increase a Grad PLUS Loan, complete a new application on StudentLoans.gov.

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).


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 submit the SAP Appeal and Personal Statement to be considered for continued eligibility.


Summer Work-Study

Summer Work-Study Information and Application

Summer Work-Study Adjustment Request Form


Verification Forms

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

Verification Worksheet
This form is only required for 2014-15 verification if it is indicated in Pipeline.*

Verification of Household Size and Number in College Form

Verification of Child Support Form

Verification of SNAP (Food) Benefits Form

Tax Non-filer Statement Form

Clarification of Assets Form

*For students who are requested in Pipeline to submit the 2014-15 Verification Worksheet:

If you did not use the IRS Data Retrieval Tool when you filed your FAFSA or you used the Data Retrieval Tool and then made changes to your FAFSA, you must submit an official IRS Tax Return Transcript. NOTE: Federal financial aid regulations do not permit the SOM Office of Student Financial Aid to accept copies of federal tax returns.

The IRS Tax Return Transcript only includes information from the original tax return. If the tax return is amended, the IRS Tax Account Transcript will show the amendments but not all of the data that did not change. Therefore, if an amended return is filed, both an IRS Tax Return Transcript and an IRS Tax Account Transcript must be obtained from the IRS and submitted to OSFA - SOM for verification to be completed. Download and print the transcript from the IRS website: http://www.irs.gov/Individuals/Get-Transcript.

The IRS provide another option for tax filers who filed an amended tax return – the Record of Account, which includes the required information from both the IRS Tax Return Transcript and the IRS Tax Account Transcript. Download and print the transcript from the IRS website: http://www.irs.gov/Individuals/Get-Transcript.