Office of the University Registrar

FQD Supporting Materials

Please keep in mind that supporting materials must be professional and from a third party. Common items that are not acceptable: images of injuries, people, medications, text exchanges, transcripts.

Event that could create an extenuating circumstance Potential Supporting Materials
Birth: Immediate family or family member
  • Copy of birth announcement.
  • Copy of birth certificate or adoption papers.
Death: Immediate family or family member There must be a clear relationship between the student and the deceased.

  • Copy of obituary.
  • Copy of memorial service announcement or program.
  • Copy of death certificate
Illness: Issues related to personal health, illness, or accident
  • Completed Healthcare Provider form.
  • Statement from a physician on letterhead including dates of service.
  • Copy of police report.
  • Copy of insurance statements.
Illness: Issues with illness or accident of immediate family or family member.
  • Detailed explanation of family member’s medical circumstances, including the name and relationship of the family member to you.
  • Copy of police report.
  • Copy of insurance statements.
Loss of childcare: Immediate family, or family member. Letter from childcare provider indicating date of loss of childcare.
Loss of employment: Self, immediate family, or family member. Statement from former employer on company letterhead for yourself, immediate family, or family member indicating date of termination.
Loss of housing: Immediate family or family member. Statement from the landlord or bank/mortgage company indicating a change to housing situation.
Marriage or divorce: Self, immediate family, or family member. Copy of divorce papers.
Military duty Copy of military orders showing dates of deployment, training, or service.
Natural disaster Personal statement including the date(s) the natural disaster occurred and the address at which the disaster occurred.
Relocation requirement Statement from employer on company letterhead indicating date of relocation.
Travel: Required out-of-town travel or overtime work Statement from employer on company letterhead indicating the work conflict such as out-of-town travel or overtime work
Event not listed UW School Official Support Statements: If you do not have supporting materials suggested on this list, you may have a University of Washington school official, such as an adviser, instructor, or other support person submit a statement on your behalf. You may include this statement with your petition or they may send it on your behalf to petition@uw.edu.