Accounts Receivable

Accounts Receivable
°ÄÃÅÁùºÏ²Ê¹ÙÍøÖ±²¥
Kalamazoo MI 49008-5210 USA
(269) 387-6000

Tuition Charge Appeal Form

Your nine-digit °ÄÃÅÁùºÏ²Ê¹ÙÍøÖ±²¥ Identification Number.
Are you currently enrolled at °ÄÃÅÁùºÏ²Ê¹ÙÍøÖ±²¥? (required)
Have you consulted with Financial Aid or your funding source before submitting a tuition charge appeal? (required)
Semester you took the course(s) in question? (required)
Would you like to appeal more than one class for this semester? (required)
Please provide detailed and specific information regarding the circumstances you feel warrant review of a tuition charge appeal. This should include information on why you were unable to withdraw before the student-initiated withdrawal period and what steps you have taken to ensure that future appeals will not be necessary. If your withdrawal is due to medical reasons and you are only completing a partial tuition charge appeal, please explain why your medical diagnosis or that of your immediate family member impacted you in some but not all courses.
Supporting documentation certifying your circumstances must accompany your appeal. Documents may be sent to the Accounts Receivable Office by uploading electronically, email, fax or standard mail. (required)
PLEASE DO NOT UPLOAD MEDICAL RECORDS
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx.

 

Examples of appropriate supporting documentation include:

Medical - Dated and signed letter on letterhead by a medical professional explaining your illness, limits to class participation, and the date range the student was unable to perform academic duties.  Please do NOT include medical records.  Excuse slips, copies of invoices, appointment confirmations, statements of insurance payments, etc. are not acceptable documentation. 

Death in the Family - A death certificate or obituary must be provided.  Death must be in your immediate family (parent, spouse, children, sibling, grandparent)

University Error - Memo on university letterhead from the appropriate administrator stating the circumstances behind the error.

Non-Attendance - Memo on university letterhead from the appropriate professor with your attendance information.  If you are unable to obtain this documentation, the Tuition Charge Appeal Committee will obtain your e-learning access history to verify non-attendance.