Free Student Aid and Expense Worksheet, HCF 16031 - Wisconsin

STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-16031 (07/08)

SCHL

STUDENT AID AND EXPENSE WORKSHEET

Use of this worksheet is optional. Name Number of Months Budgeted Social Security Number Semester

Total Student Aid Received Total Allowable Expenses Total Work Study Contract

$ $ $

1. Enter Total Student Aid 2. Enter Total Expenses 3. Subtract Line 2 from Line 1 4. Prorate line 3 by the number of months budgeted. Budget as unearned income. (If line 3 is less than zero, change the number to a positive and enter it on line 5.) 5. Remaining Expenses - If s/he doesn't have work study income, worksheet is complete. 6. Enter Work Study Income 7. Enter Line 5, Remaining Expenses, if any 8. Line 6 ­ Line 7 = Income 9. Prorate line 8 by the number of months budgeted. Budget as earned income.

$ (-) $ (=) $ $

$

$ (-) $ (=) $ $

RESET FORM

SCHL
Student Grants and Loans Worksheet Documentation
Use of this worksheet is optional. Name Social Security Number

STUDENT AID AND EXPENSE WORKSHEET F-16031 (07/08)

Number of Months Budgeted

Semester

INCOME
Source of Student Aid Total Awarded Date Disbursed Amount Disbursed Intended Period of Coverage Verification Source Date Verified

Total Income

$

$

EXPENSES
Expense Tuition Orientation Fees Guarantee Fees Insurance on Loans Uniforms Lab Fees Equipment Books Transportation Miscellaneous Child Care* Shelter* Total Expenses $ *NOT ALLOWABLE EXCLUSION FROM STUDENT GRANT AND LOAN INCOME Amount Verification Document Date Comments

RESET FORM

Page 2