STUDENT REFUND CHECK REQUEST FORM

Semester of Refund
Fall    Spring    Summer 1    Summer 2
Type of Student
Law    Undergrad    Grad
Date
Amount of check

Make Check Payable to:

First Name
Last Name
Email Address

Mail to:

Name
Street
City
Zip code
Do not mail, I will pick up my check at the finance office.
Student ID #
Telephone #
Student Name (if        
different from above)
Notes or instruction
     

Please note: Refunds are based on current information and are subject to correction.