Paper Forms
You may submit requested documents by using the fillable PDF form. Enter the data, then print and sign the form. Forms can be mailed to the Financial Aid Office, Dyersburg State Community College, 1510 Lake Road, Dyersburg, Tennessee 38024, faxed to 731-286-3354, or submitted at any DSCC location.
Financial Aid Forms for Fall 2019, Spring 2020, and Summer 2020
- 2019-2020 Asset Verification Form (Dependent)
- 2019-2020 Asset Verification Form (Independent)
- 2019-2020 Bachelor's Degree Statement (Dependent)
- 2019-2020 Bachelor's Degree Statement (Independent)
- 2019-2020 Child Support Paid Verification Form (Dependent)
- 2019-2020 Child Support Paid Verification Form (Independent)
- 2019-2020 Dependent Verification Worksheet
- 2019-2020 Independent Verification Worksheet
- 2019-2020 Marital Status Statement (Dependent)
- 2019-2020 Marital Status Statement (Independent)
- 2019-2020 Parent Data Worksheet
- 2019-2020 Signature Form (Dependent)
- 2019-2020 Signature Form (Independent)
- 2019-2020 Untaxed Income Verification Form (Dependent)
- 2019-2020 Untaxed Income Verification Form (Independent)
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2019-2020 Identity and Educational Purpose Statement*
*This form must be completed in person. Please call 731-286-3273 for more information.
Appeal Form
Loan Forms
Lottery Forms
- TN Promise, TN Reconnect, and TELS Scholarship Appeal Form
- Repeat Course Form
- Request for Reinstatement - Grade Change
- Change of Institution Form
Special Circumstances
Consortium Agreement