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Student Accounts

Return Payment Fee Petition

Note: Your request for waiver of the returned payment fee must be accompanied by a detailed explanation in letter form. The letter must document all of the pertinent facts, and be accompanied by such proof as is available. This petition with all the required documentation must be received by Student Financial Services within sixty days of the incident. The requester of the waiver has the burden of proving the facts.

This appeal is based on the following reason(s):

Select all that apply and provide explanation on the accompanying letter required with this petition, and submit documentation proving the stated facts.

 


WARNING: IMPORTANT! DO NOT UPLOAD ANY SENSITIVE CONFIDENTIAL INFORMATION, such as Social Security or bank account numbers, home addresses, or other similar information.

**If sensitive confidential information must be submitted, then please print a paper form for mailing through US Mail or contact Student Financial Services directly for assistance.**

At a minimum, you MUST upload your detailed letter of explanation. Your request will NOT be processed unless the letter is submitted.

If you have other supporting documents proving the facts, make sure to include them with you letter of explanation.


 

Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt xml.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt xls xlsx ods xml avi mov mp3 ogg wav.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt xls xlsx ods xml avi mov mp3 ogg wav.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt xls xlsx ods xml avi mov mp3 ogg wav.

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