2020-2021 Canadian Fee Waiver Instructions - LSAC

2020–2021 Canadian Fee Waiver Instructions
Canadian citizens, permanent residents of Canada, and Protected Persons/Convention
Refugees in Canada who need a fee waiver for LSAC services may apply through the LSAC
Canadian Fee Waiver process. To request a fee waiver, complete the following application,
which determines your financial status.

Fill out the application completely and accurately. Be sure to sign and date the application. Any
misrepresentation of information on the application is subject to LSAC misconduct and
irregularities proceedings. Retain a copy of the application for your records.

Please submit your completed application by email to CanadianFeeWaiver@LSAC.org or by
paper mail to LSAC, Attn: Fee Waivers, 662 Penn Street, PO Box 2000, Newtown, PA 18940
4 to 6 weeks prior to the registration deadline for the LSAT administration you wish to take.
Prior to submitting your fee waiver application, please create an online account at LSAC.org.

Please send all tax documentation supporting your fee waiver application (Notice of
Assessment for you, and for your spouse or parents, if applicable) with your application,
whether by email or by paper mail. Your application cannot be processed if this
documentation is not received.

If your request for a fee waiver is approved, it will cover the following LSAC services only:

   •   two LSATs (test dates must fall within the two-year fee waiver period), including LSAT
       Writing™
   •   a one-year subscription to LSAC’s Official LSAT Prep PlusSM, which provides access to
       more than 60 practice tests in the authentic Digital LSAT environment
   •   Score Preview for first-time test takers who wish to see their score before deciding
       whether or not to keep it as part of their LSAC transcript and report it to schools
   •   Note: Free Khan Academy Official LSAT® Prep is available at
       khanacademy.org/prep/LSAT

In the event that you are applying to U.S. law schools and are seeking a waiver for the LSAC
Credential Assembly ServiceSM (CASSM), if you are eligible, this fee waiver application will
cover one registration for CAS, including a total of six law school reports, the Letter of
Recommendation Service, and access to electronic applications for all ABA-approved law
schools.

After your application is processed you will receive an email indicating whether your
application was approved or denied. If your fee waiver application is approved, you may begin
registering for services using your fee waiver. A credit card will be required for any fees not
covered by the fee waiver. All credit card payments will be charged in U.S. dollars. If your fee
waiver application is denied, you may appeal the decision. Appeal instructions will be included
in your email notification. Note that appeal decisions are final.

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            2020–2021 Canadian Fee Waiver Form

Section A: Applicant Information
1. Last Name _______________________________________________________________

2. First Name _______________________________________________________________

3. Middle Initial ______________________________________________________________

4. Address _________________________________________________________________

5. City _____________________________________________________________________

6. Province (or State) _________________________________________________________

7. Postal Code (or Zip Code) ___________________________________________________

8. Phone ___________________________________________________________________

9. Email ___________________________________________________________________

10. Gender (Optional)        Male           Female         Other

11. Race/Ethnicity (Optional) ___________________________________________________

12. Birth Date (MM/DD/YY)    Month _____________ Day ___________Year ___________

13. LSAC Account Number ___________________________________________________

14. Are you a Canadian citizen?        Yes           No

15. Are you a permanent resident of Canada?          Yes            No

16. Are you a Protected Person/Convention Refugee in Canada?             Yes       No

Section B: Applicant Status
17. Were you born before January 1, 1997?        Yes           No

18. Are you married, separated, widowed, or divorced?        Yes           No

19. Do you have legal dependents other than yourself and spouse?           Yes      No

20. Are both of your parents deceased, or are you or were you (until age 18) a ward/dependent
   of the court?        Yes         No

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If you answered “Yes” to any question in Section B, your application status is Independent.
Please complete only Sections C1 and C2 below.

If you answered “No” to all questions in Section B, your application status is Dependent and you
should complete Section D in addition to Sections C1 and C2 to provide your parents’ financial
information.

Section C1: Financial Condition of Applicant (and Spouse,
if Applicable)
Total income includes annual salary, wages, tips, interest income, social assistance, disability
pension, and any other compensation.

21. Current Financial Position           Applicant           Spouse              Total
      Expected Income from 2020:       $ ___________       $ ___________       $ ___________
                                                                                 0.00

22. Income (2019 Tax Year)
      What was your (and/or your spouse’s, if applicable) total income for 2019?
      (Refer to line 15000 of the Notice of Assessment.) $ ___________

23. Size of Household (Independent Applicants Only)
      What is the size of your household for 2019? (Include yourself, your dependents, your
      spouse, and your spouse’s dependents, if applicable.) _______

24. Dependent Care Expenses (Independent Applicants Only)
      Enter the total amount of dependent care expenses that you (and/or your spouse, if
      applicable) entered on your tax return form for 2019.
      (Refer to line 21400 of your Notice(s) of Assessment.) $ __________

25. Interest/Dividends
      25a. What was your (and/or your spouse’s, if applicable) total interest income for 2019?
      $ _________
      25b. What was your (and/or your spouse’s, if applicable) total dividend income for 2019?
      $ _________

26. Cash Balances (exclude financial aid)
      26a. Do you (and/or your spouse, if applicable) have chequing/money market bank
      accounts?       Yes          No
      26b. If you answered “Yes” to question 26a, enter the balance of this/these account(s):
      $ __________
      26c. Do you (and/or your spouse, if applicable) have savings accounts?         Yes         No

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      26d. If you answered “Yes” to question 26c, enter the balance of this/these account(s):
      $ ________

27. Housing (You and your Spouse, if applicable)
      27a. If you rent your accommodations, your monthly rent payment: $ __________
      27b. Do you own a home?            Yes           No
      27c. If yes, current value: $ __________
      27d. Current mortgage balance: $ __________
      27e. Monthly mortgage payment: $ ___________
      27f. Monthly property taxes: $ _________

28. Other Debt (You and your Spouse, if applicable)
      Please indicate your total debt amounts for each category below:
      28a. Auto loan(s): $ __________
      28b. Student loan(s): $ ___________
      28c. Credit card balance (total of all credit cards): $ ___________
      28d. Other: $ ___________

Section C2: Currently Enrolled Students Only
29. I am currently an      Undergraduate Student             Graduate Student
      Print name of institution _________________________________________________

30. Amount of financial aid awarded to you this year
      (Include aid from all sources including loans, grants, and scholarships.)
      30a. Student loan(s): $ ________
      30b. Grants (including a Canada Student Grant, if applicable): $ _________
      30c. Scholarships: $ _________

Section D: Financial Condition of Parents
Complete this section only if you answered “No” to every question in Section B.

Total income includes annual salary, wages, tips, interest income, social assistance, disability
pension, and any other compensation.

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31. Income (2019 Tax Year)
      What was your parents’ net income for 2019?
      (Refer to line 23600 of their Notice(s) of Assessment.) $ __________

32. Size of Household
      What was the size of your parents’ household for 2019? (Include your parents, yourself,
      and other dependents of your parents (e.g., your siblings).) _________

33. Interest/Dividends
      33a. What was your parents’ total interest income for 2019?
      (Refer to line 12100 of the Notice of Assessment.) $ __________
      33b. What was your parents’ total dividend income for 2019? $ ___________

34. Cash Balances (both parents, if applicable)
      34a. Do your parents have chequing/money market bank accounts?             Yes       No
      34b. If you answered “Yes” to question 34a, enter the balance of this/these account(s):
      $ ___________
      34c. Do your parents have savings accounts?         Yes         No
      34d. If you answered “Yes” to question 34c, enter the balance of this/these account(s):
      $ ___________

35. Housing (both parents, if applicable)
      35a. If your parents rent accommodations, their monthly rent payment: $ _________
      35b. Do your parents own a home?           Yes         No
      35c. If yes, current value: $ __________
      35d. Current mortgage balance: $ __________
      35e. Monthly mortgage payment: $ ___________
      35f. Monthly property taxes: $ ___________

36. Other Debt (both parents, if applicable)
      Please indicate total debt amounts for each category below:
      36a. Auto loan(s): $ _________
      36b. Student loan(s): $ ___________
      36c. Home Equity loan(s): $ ___________
      36d. Credit card balance (total of all credit card(s)): $ __________

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Section E: Certification Statement
Law School Admission Council (LSAC) will not process this form if this statement is not signed
or has been modified or altered in any way.

I hereby certify that the information provided on this application is accurate and complete to the
best of my knowledge. I have enclosed the required tax documentation. I agree to give further
proof of the information I have provided on this application if requested to do so. I realize this
proof may include a copy of my or my spouse’s bank statements and my or my parents’ records
of untaxed income and benefits. I understand that falsification of information on this form or any
supporting documentation is subject to LSAC misconduct and irregularities proceedings.

Signature ___________________________________

Date _______________________________________

12/2020                                              © 2020 Law School Admission Council, Inc.