Please list all students for whom you are seeking assistance.
Please list any other persons living in your home.
Please upload the three most recent paystubs (pdf or jpg files accepted) OR check the box indicating the three most recent paystubs will be sent by mail. APPLICATIONS CANNOT BE PROCESSED UNTIL ALL DOCUMENTATION HAS BEEN RECEIVED.
Medical Bill Information
Please upload any relevant medical bills/statements OR check the box indicating any relevant medical bills/statements will be sent by mail.
Please upload your IOWA 1040 Tax Return (not Federal), and Schedule C, D, and/or F if they are part of your tax return (pdf or jpg files accepted). If you did not file taxes in Iowa, please upload your Federal 1040 Tax Return.