TUITION and FEE APPEAL

TUITION and FEE APPEAL

Please read the instructions on the reverse side before submitting your tuition and fee appeal. Course(s) that are being appealed must be officially dropped or withdrawn from before the Fee Appeal will be reviewed. Please print clearly or type.

Name ______Student ID#______

Address ______Term Appealing ______

City,State,Zip ______Date of withdrawal or drop ______

Phone # ______Amount or credit hours appealing ______

Reason for appeal:

______

______

______

______

______

______

______

______

______

______

Please be aware that interest charges may continue to be assessed until such time as a determination

is made on this appeal or the account is paid in full.

Submit to: Signed ______

The University of Michigan – Flint

Cashiers/Student Accounts

261 UPAV Dated ______

Flint, Mi. 48502-1950

Phone: (810)762-3490

Fax: (810)762-0772

Email:

TUITION and FEE APPEAL INSTRUCTIONS

Appeal deadline: 90 days from end of the term being appealed.

Following the guidelines below will allow an efficient processing of your fee appeal. If you have any questions pertaining to completing this form, please call or contact Cashiers/Student Accounts at (810)762-3490.

Completed petition necessary. Provide all information which applies to your request. Include dates, courses, and a clear, concise explanation of the circumstances relevant to the request. Additional documentation that supports a request must be attached. If you have had an Academic Standards Committee petition granted for the same term, it does not necessarily mean that your fee appeal will be granted.

Fee appeal generally considered for (examples): Supporting documentation needed:

· medical/health reason(s) · doctor’s written statement

(must be on letterhead and include

dates of illness or injury)

· work related · supervisor’s written statement

(change must be related to an employer you were (must include dates, hours, contact

with prior to the beginning of the term being appealed information of supervisor and must be

and the change was not your choice) on company letterhead)

· death in the family · copy of obituary, memorial or

(must be immediate family) death certificate

· non-attendance · instructor’s written statement

(please note: the $100 withdrawal fee cannot be (must prove that student never attended,and/or

appealed for non-attendance) participated if in an on-line class, even once)

· advising error by UM-Flint faculty/staff · advisor’s written statement

(advisor must accept responsibility for

misadvising)

*Fee appeals based on recurring circumstances/conditions may not guarantee a “granted” fee appeal each time.

Fee appeal not usually considered for:

· lack of awareness of the University policies

· notification of ineligibility for financial aid after the semester has begun

· financial aid award that is not enough to cover the cost of the semester

· new job
· unreliable transportation

· childcare issues

· family status change

· partial attendance, including one day attendance or any on-line class participation

Submit fee appeal to:

The University of Michigan - Flint

Cashiers/Student Accounts/261 UPAV

Flint, MI 48502-1950

Fax (810) 762-0772

Students will be notified in writing regarding the outcome of their appeal.

Fee appeals that are denied at this stage may be submitted to the Fee Appeal Sub-committee. A fee appeal submitted to the sub-committee may require additional substantiating documentation, as determined by the committee chair. If you wish to proceed to the final appeal stage, contact the Cashiers/Student Accounts Office (762-3490) so that your appeal may be forwarded to the sub-committee.

Fee appeal blank form revised 04/13