Undergraduate Emergency Aid Request 2026-27

If you encounter financial circumstances that are above the standard cost of attendance and are receiving need-based financial aid, the University may be able to provide assistance. Please use this form to describe your circumstances and attach supporting documentation. Please note that to provide funding, we must have documentation of the expense, proof of insurance coverage or proof of discount/cost reduction. Because our ability to address your emergency funding request requires you to be a currently enrolled student, please submit all requests in the term in which the expense occurs.

If you have questions, please contact the Office of Undergraduate Financial Aid at undergradaid@u.northwestern.edu. If you have specific concerns, please contact Associate Director of Financial Aid John Richmond (john.richmond@northwestern.edu).

Please indicate your program type:

Please indicate your program type: Undergraduate Graduate/Professional
Please contact your Financial Aid Office. This form is for requests from Evanston undergraduate students. Please contact your financial aid office to explore your options. A list of office contacts can be found at https://www.northwestern.edu/sfs/about/contact/offices.html.
Your Name Your Name First Last
Your Student ID Number
Must be 7 digits. Currently Entered: 0 digits.
Your Northwestern Email Address
Your Phone Number Your Phone Number - ### - ### ####
Were you referred to our office for the emergency aid program?

Were you referred to our office for the emergency aid program? Yes No
Please indicate their role:

Please indicate their role: University Faculty University Staff Other (please expand below)
Name of person who referred you and any other additional pertinent information regarding the referral:
I am requesting emergency assistance for one of the following (in almost all cases we will need a copy of the paid bill from your provider, please upload a copy with the link on the bottom of this form):

I am requesting emergency assistance for one of the following (in almost all cases we will need a copy of the paid bill from your provider, please upload a copy with the link on the bottom of this form): Medical Expenses (emergency room, ambulance, office visit...etc.) Vision Expenses Dental Expenses Emergency Housing Expenses Emergency Food Expenses Conference travel assistance Emergency Travel Computer Repair or Replacement
If this expense is over $750 you will be required to request hardship relief through the medical provider's financial assistance program. To ensure your request is able to be processed as quickly as possible, please submit an assistance request through the medical provider at the same time as you submit this emergency aid request. Information on how to submit their request can be found on your billing invoice under the 'Financial Assistance' section.

Links to the Financial Assistance website for two of the largest providers in the Evanston area, Endeavor Health and Northwestern Medicine, are below.

Endeavor Health (Evanston Hospital): https://www.endeavorhealth.org/patients-visitors/billing-insurance/financial-assistance

Northwestern Medicine: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
Vision expenses are limited to a maximum of $100 per academic year, but may be less depending on the academic term and your year in school.
Insurance is required to receive assistance for dental expenses. If you do not have insurance and need a dental procedure, please email Associate Director of Financial Aid John Richmond at john.richmond@northwestern.edu for further information before you have the procedure completed.
Please email Associate Director of Financial Aid John Richmond at john.richmond@northwestern.edu before submitting the form for expenses of this type.
Conference travel assistance is limited to a maximum of $500 per academic year. Students are required to apply for assistance through the Office of Undergraduate Research as well as their academic school in order to be eligible for assistance through the Office of Undergraduate Financial Aid.

Please ensure that you attach your approval or denial letter for assistance from the other departments to this request, along with itemized information on your travel expenses (flights/ground travel, hotel, meals) and screenshots of any travel confirmations.
Students are limited to one (1) instance of computer funding per undergraduate degree program. If you received the start-up assistance or previously received emergency aid for a computer repair/replacement you are not eligible to receive any additional assistance and your request for emergency aid will be denied.

Loan options may be available if you are eligible for Federal financial aid. Please email undergradaid@u.northwestern.edu for more information about your loan eligibility.

Please also note that this funding is only applicable towards a computer repair or replacement; funding is not available for the replacement of phones or tablets.
Funding may be available for emergency travel due to the death of an immediate family member (parent or sibling). If this is applicable, please submit documentation of the flight/travel costs, as well as documentation such as a death certificate.

If your circumstances do not meet that requirement you may be able to use your loan eligibility instead if you are eligible for Federal financial aid. Please email undergradaid@u.northwestern.edu for more information about your loan eligibility.
I understand
Total amount of aid being requested. If you are unsure of the amount, please wait and complete this form when the total cost of the expense is known. If you have questions in the meantime, please contact us. $ Dollars . Cents
To provide funding, we must know the total amount of the request after insurance or other discounts have applied. If this is a large expense and you need advance funding, you will later need to provide receipts. If advance funding exceeds your eventual bill, you will be required to reimburse the university.

If you need advance funding for a large expense, please explain in the text box below.
Please describe the nature of your request and upload documentation of the expense below.
Please upload documentation of your expense(s). In the case of medical expenses, please provide documentation from your medical provider. Help for medical expenses cannot be provided without documentation.

HEIC files are not compatible with this form.
Acknowledgements

Acknowledgements The expense that I am reporting was incurred during a time period I was actually enrolled. I understand I am not eligible to apply for emergency aid for an expense incurred while not enrolled. I understand that requests must be submitted in the academic term in which the expense actually occurred. I understand that expenses that occurred prior to the current term will not be approved. I understand that insurance coverage is a requirement to receive assistance for expenses through the emergency aid program.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. By signing this, I confirm that I am the individual completing this form and all the above information is accurate and true. Clear

Full Name

I understand this is a legal representation of my signature. By signing this, I confirm that I am the individual completing this form and all the above information is accurate and true.

Undergraduate Emergency Aid Request 2026-27

Undergraduate Emergency Aid Request 2026-27

Please contact your Financial Aid Office. This form is for requests from Evanston undergraduate students. Please contact your financial aid office to explore your options. A list of office contacts can be found at https://www.northwestern.edu/sfs/about/contact/offices.html.

Vision expenses are limited to a maximum of $100 per academic year, but may be less depending on the academic term and your year in school.

Insurance is required to receive assistance for dental expenses. If you do not have insurance and need a dental procedure, please email Associate Director of Financial Aid John Richmond at john.richmond@northwestern.edu for further information before you have the procedure completed.

Please email Associate Director of Financial Aid John Richmond at john.richmond@northwestern.edu before submitting the form for expenses of this type.