In addition to checking the appropriate box(s) on the next page, you will need to provide third-party documentation to support your appeal. Examples of third party-documentation you may submit are listed after each circumstance on the next page. In addition to those examples, third-party documentation may include a signed and dated letter from someone who is familiar with your situation and can support the reason for appeal (clergy, social worker, case worker, counselor, doctor, etc.). Please note that your Personal Statement described in Step 2 does not satisfy the third-party documentation requirement.
Please indicate below the circumstance(s) beyond your control that contributed to your inability to maintain the SAP standards, if your reason applies to one, and not the others, please mark "NA":