Financial Aid

Main Content

Student Financial Services Forms

Download from the intranet at intranet.umc.edu, complete and return your required forms in one of four ways listed below.

  1. Email to:
    FinancialAid@umc.edu
  2. Fax to:
    (601) 984-6984
  3. Mail to: 
    Office of Student Financial Services 
    University of Mississippi Medical Center
    2500 N. State St., Suite U124
    Jackson, MS 39216
  4. Bring in-person to:
    Office of Student Financial Services
    Suite U124, 2nd Floor
    Verner S. Holmes Learning Resource Center

2025-2026 Financial Services Forms 

(Available as PDFs on the intranet under Education > Academic Affairs > Student Financial Assistance > Student Financial Services Forms)

  • Childcare COA Increase Request Form
  • Childcare/Insurance COA Increase Request Form
  • COA Adjustment Request Form
  • Dependency Override Appeal Form
  • Emancipated Minor & Legal Guardianship Form
  • FERPA Authorization to Release Information
  • Identity & Statement of Educational Purpose
  • Insurance COA Increase Request Form
  • Non-tax Filers Verification Worksheet
  • Orphan/Ward of the Court/Foster Care Verification Form
  • Other Untaxed Income Worksheet
  • Outside Scholarship Notification Form
  • Request for Account Adjustment Form
  • Request for Transcript of Tax Return (4506-T) - External PDF
  • Special Circumstances Appeal Form
  • Student Contact Information and Acknowledgement
  • Unaccompanied Homeless Youth Verification Form
  • Unsubsidized Federal Direct Loan Request for Dependent Students Without Parental Data on FAFSA
  • Verification Worksheet

Undergraduate Dependent Tuition Waivers

  • This undergraduate dependent tuition waiver is available to children of full-time employees of the University of Mississippi Medical Center (UMMC), the University of Mississippi Main Campus or Satellite Centers (Ole Miss), and the IHL Executive Office.

To apply for the waiver

  • To apply, complete the application for the waiver prior to each semester or term through Workday. In the Workday search bar, type 'Create Request'. Select 'All' and scroll down until you see 'Dependent Tuition Waivers for Undergraduate students.' Complete the application.

Scholarships for Children of UMMC Employees for Graduate and Professional Programs

  • This scholarship is only available to children of UMMC employees who are classified as full-time, consistent with UMMC policy.

To apply for the scholarship

  • To apply, complete the application for the scholarship prior to each semester or term through Workday. In the Workday search bar, type 'Create Request'. Select 'All' and scroll down until you see 'Graduate and Professional Scholarships for Children of Employees.' Complete the application.

Workforce Development Scholarship

The Workforce Development Scholarship fosters the professional development of the UMMC workforce within the boundaries of institutional mission priorities and financial resources.

Individuals in the identified programs of study are then eligible to apply, but must meet the following requirements:

  • Applicant must be a full-time employee for one year prior to application and have recommendation and approval from immediate supervisor.
  • Applicant must be approved by Human Resources and not be on progressive discipline program.  
  • Applicant must be accepted and enrolled in one of the approved programs of study.
  • Employee must maintain good satisfactory academic standing. 
  • Employee must agree to a service commitment of (6) six months for each semester of benefit received.  If employee resigns prior to completing the service commitment, repayment of the scholarship plus interest is required.  

For more information