FORM REVREQ - IDAHO STATE UNIVERSITY 19-20
INFORMATION UPDATE and REVISION REQUEST FORM
INSTRUCTIONS: Please list below your updated information and/or request for a
revision to your financial aid award. To obtain the results of your request, contact the
Office of Financial Aid or access BengalWeb
. Please allow three to five working days
for your request to be reviewed. Please return this completed form to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem@isu.edu
Web: www.isu.edu/financialaid/forms/
University Place, Bennion Student Union Building, Student Services Office
1784 Science Center Dr, Idaho Falls, ID 83402 Phone: (208)282-7704
REVREQ-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
Briefly explain why you are submitting this request.
CERTIFICATION: The person signing below certifies that all of the information reported is complete
and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
OFFICE USE ONLY
Action taken:
Date/Initials
(v. 12/14/2018) (S:\20_Forms\formREVREQ.wpd)
Please fill in blanks, print, sign and return
Press tab or shift-tab to move between fields
