If you have reviewed the HSPH Cost of Attandence (COA) budget and you would like to request consider 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Student Name and Student HUID in the designated fields.
3. Check all applicable boxes under 'Rent and Utilities' if relevant, and provide your monthly rent and utilities expenses.
4. For Dependant Care Expenses, enter your monthly expense in the provided field.
5. Input any Medical/Dental expenses not covered by insurance, specifying whether they are monthly or one-time expenses.
6. Detail any travel expenses related to class trips or personal travel, including a round trip ticket home.
7. If applicable, enter the total expense for a one-time purchase of a personal computer.
8. For other expenses not listed, indicate the type and enter the monthly expense.
9. Provide a brief description of why your budget adjustment is needed. Attach additional documentation if necessary.
10. Sign below to complete your form submission. Ensure all supporting documentation is included before submitting it to the Office of Student Financial Services.

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