Cost of Attendance (COA) Budget Revision Request

The standard COA budget includes tuition and estimated costs for health insurance, books and supplies, holiday & local travel, utilities/internet, rent, food, board exams, and miscellaneous/personal expenses during the following budget durations determined by class year: M1: 10 months, M2: 11 months, M3: 12 months, M4: 10 months, M5: 10 months & GEMS: 11 months.

The COA Budget Revision Request process is now open for the 2023-2024 academic year. COA budget revision requests can be submitted during the following timeframes:

FALL SEMESTER: 08/15/23 – 12/01/23

SPRING SEMESTER: 01/29/24 – 3 weeks before end of academic year (differs by class year)

To apply, you must complete the following action items:

  1. Complete the COA Adjustment Form.
  2. Documentation of the cost(s) incurred must be sent via email to medfinaid@georgetown.edu. The expenses must be dated within the current academic year. Receipts must include (1) confirmation of payment, (2) the date of payment and (3) your full name.  You can either submit receipts as you incur the expenses or hold the receipts and submit all at one time.

Our processing timeline is 10 – 12 business days (this excludes holidays and weekends) from receipt of a complete budget adjustment request. If additional information or documentation is required to complete a student’s request, this will extend processing time.

***Please note: submission of a cost of attendance revision DOES NOT guarantee an increase in financial aid eligibility. We would also like to remind you that student loans are debt obligations and we encourage you to stay informed of your borrowing by regularly checking your student account and financial aid awards via MyAccess (new window)


  • A budget adjustment may be requested to cover certain additional allowable costs (see categories below) above a student’s standard COA budget utilizing federal student loan (Direct Unsub Loan & Direct GradPLUS Loan) or private loan increases, which increases a student’s loan debt.
  • Your cost of attendance may be adjusted to include other allowable costs incurred to meet your educational needs.

Federally-Allowable Expenses include but are not limited to:

– Rent/Utility Increase (Must surpass $1,700/mo; max approval is $2,125/mo – lease REQUIRED)

– Standard Family Adjustment (Eligible dependent(s) must be listed on FAFSA)

– Transportation expenses (e.g. public transit, rideshare, etc.) that surpass the established Cost of Attendance allotment

– Car/Motorcycle Repair Expenses (Paid receipt REQUIRED – Invoices not acceptable)

– Unexpected computer expenses (one-time during medical school up to $2,000)

– Unreimbursed Medical/Dental/Eye/Pharmaceutical (Paid receipt REQUIRED – Invoices not acceptable)

– Away Rotation [Outside of DMV] Expenses (Travel – must exceed $475 & Lodging)

– Residency Interview Adjustment (Application & transcript fees up to $3,500)

Non-Allowable Expenses: Federal regulations limit the expenses that are allowed to be added to a student’s budget. Common non-allowable expenses include, but are not limited to:

– Car payments, parking, gas, car insurance, tolls and associated costs

– Apartment/condo amenity fees, parking fees, garage housing fees, and/or move-in/moving fees

– Credit card debt

– Professional attire for residency interviews

– Residency relocation moving costs (including security deposits, apartment furnishings and amenities)

– Cosmetic medical expenses

– Court or attorney fees


Allowable Categories Policy

A ONE TIME request (during your medical school journey) for a computer reimbursement can be made of up to $2,000 during enrollment at GUSOM  and must be submitted during the academic year with which you purchased it.

For incoming students, a computer can be purchased between July 1st and April 15th and between August 1st and April 15th for continuing students. The computer MUST be purchased by the student submitting the request by showing this on the receipt. A scanned copy of the original receipt or online receipt must accompany the request and show proof of payment and payment type.  Photo copies of original receipts, order confirmations, bills or invoices ARE NOT sufficient forms of documentation and WILL NOT be accepted.

Approved reimbursable computer expenses includes: one (1) desktop computer (with corresponding peripherals) or one (1) laptop computer (with corresponding items).

NOTE: Before purchasing a computer or any software, we recommend students check with the Information Systems Technology (IST) department as Georgetown may offer or collaborate with third parties for educational discounts or free software.

The standard student housing budget is $1,700 per month for rent & utilities. The requested housing adjustment amount may not exceed $2,125 for the lease beginning and end dates.

  • If a student lives with a partner or roommates and housing contributions are not split equally or a guarantor is listed on the lease as a co-signer, they must explain this in detail in the additional information section of the form. Specify the circumstances surrounding living arrangements and attach copies of the two most recent rent receipts of ALL adult occupants (or other proof of payment). Otherwise, it will be assumed that housing costs are shared equally by those listed as occupants on the lease agreement as they too are financially responsible for payment.
  • Rental charges such as pet rent, parking, storage, amenities or security deposits are NOT eligible for an adjustment.

Documentation:

  • Rental property: Requests must be accompanied by the full and current copy of the requester’s lease agreement (attachments such as pet or lead addenda are not needed) signed and dated by ALL parties (lessor and lessee).
    • If the student resides with other adult occupants, two copies of the most recent rental payments for all must also accompany the request.
    • Guarantors MUST be listed on the rental agreement as a guarantor. Persons listed as occupants will be treated as such.
  • Personal Home: Requests must be accompanied by a copy of the student’s most recent mortgage statement.
  • If the student resides with other adult occupants, they too must be listed on the mortgage statement.

Students with families may request an increase for allowable expenses (food, utilities, local travel, etc.) from their standard budget. Eligibility is based on the student’s eligible dependents, legal marital status, and spouse’s employment and/or student status.

All requests for a standard family increase must be accompanied by the current lease agreement with all family members listed as occupants. If a rental increase is also requested, please enter that information on the form as well. To document newborns or new family members, simply submit their hospital discharge papers, legal birth certificate or court documentation.

For spouses, we inquire regarding their planned work during the school year and expect them to contribute to the household.  If the spouse is not working, and there is some articulated reason (taking care of family, health issues, etc.), we will do a family adjustment bringing the total living expense budget up to 150% of the individual student budget.  

If the spouse is enrolled in school, we expect them to utilize their school’s living expenses and will not make the adjustment.

Students may also submit a request for documented medical expenses and childcare expenses for their legal dependents.

  • Please see the Unreimbursed Medical Reimbursement section above for all required documentation.
  • Enrollment agreements for childcare for dependent(s) must be submitted along with a copy of their two most recent proofs of payments.
    • If the student’s dependent is enrolled at the Georgetown Early Learning Center, the enrollment agreement is the only documentation needed.
    • Childcare reimbursement shall not exceed the current tuition rate at the Georgetown Law Early Learning Center for Georgetown affiliated Pioneer/Explorers. The Early Learning Center’s rates are reasonably equitable with those in the surrounding area.

NOTE: Students with working spouses or spouses who are students at GUSOM or elsewhere are expected to split family costs equally. In situations of court-ordered support, we require court documentation.

The standard student transportation budget is $475 per month for M3- and M4- transportation. If a student requires further transportation support for their clinical and/or advanced clinical rotations, they can submit receipts for public transportation usage (e.g. ride sharing service, DC Metro, etc.). The receipt must include the student’s name and timestamp of when the ride occurred. 

All full-time active students must have health insurance. Reimbursements for medical expenses may be submitted to cover certain costs associated with medical, dental, eye exams, or certain emergency procedures AFTER a student’s insurance company has made their adjustment and the student has made the required payment to their healthcare provider.

Reimbursements for health related charges will be considered when complete and current documentation has been received showing paid charges. 

  • Reimbursements for health insurance coverage will be considered when complete and current documentation has been received showing charge above what is allotted in the student budget for health insurance.
    • Please submit the health insurance coverage statement for all non-Georgetown health insurance along with one copy of your most recent proof of payment. The document should detail who is covered, the monthly amount and dates of coverage.
    • For Georgetown health or dental insurance covering more than the student, simply submit the insurance coverage statement.
  • For any ongoing medical appointments, procedures or prescriptions, the student should provide the current cost and course of treatment document from their healthcare provider as well as the most recent proof of payment document/receipt.
  • One-time procedures, surgeries or appointments must follow reimbursement guidelines.
  • Cosmetic, spa or pet medical expenses are NOT eligible for reimbursement. 

If a student chooses to pursue an away rotation opportunity, we can increase their standard budget for lodging and/or away rotation-specific transportation (e.g. rental car, airfare, etc.) but only if these expenses surpass the standard budget established for these federal categories (rent & utilities [$1,700/month] and transportation [$475/month]). 

For lodging increases, we need documentation reflective of the away rotation-specific lodging receipts (e.g. AirBnB, VRBO, hotel receipt, etc.) AND their current DMV lease/mortgage.

For transportation increases, we solely need documentation specific to transportation associated with the away rotation. We cannot increase for gas, oil changes or EZPass/toll-related expenses. 

Because residency interview decisions are specific to each student, these experiences are NOT accounted for in the standard COA student budget. 

If a student chooses to travel for residency interview opportunities, we can increase their standard budget for lodging and/or residency interview-specific transportation (e.g. rental car, airfare, etc.) but only if these expenses surpass the standard budget established for these federal categories (rent & utilities [$1,700/month] and local transportation [$475/month]). 

For lodging increases, we need documentation reflective of the away rotation-specific lodging receipts (e.g. AirBnB, VRBO, hotel receipt, etc.) AND their current DMV lease/mortgage.

For transportation increases, we solely need documentation specific to transportation associated with the residency interview. 

For ERAS Application fees, we will need documentation that clearly displays the student’s name, a timestamp, proof of payment and confirmation the payment was successfully processed.