Financial Aid

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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

UMMC Child of Faculty/Staff Award

The UMMC Child of Faculty/Staff Award is available to children of employees of UMMC, University of Mississippi (Oxford), and University of Mississippi satellite centers (Tupelo, DeSoto) for at least twelve (12) months prior to application submission. Children of retired as full-time employees with ten (10) years of service or those employees who die while in service are also eligible. Covers 50% of tuition per semester for each parent employed full-time for at least twelve (12) consecutive months. A tuition scholarship representing full tuition is available to children of full-time faculty and staff who were employed prior to July 1, 1977. All eligibility criteria as stated on the application, MUST be met to obtain an award.

  • The application is available in Workday by searching "Create Request" in the Workday search bar.

Workforce Development Scholarship

The Workforce Development Scholarship is available to eligible UMMC employees and could cover the cost of tuition for up to six hours per semester of qualifying courses taken at UMMC.